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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Erythematous Widespread Rash, Itching, Fever, High WBC, Low Iron Count. Treatment?

I have had an erythematous widespread rash. itching, low grade fever. Started 3 weeks ago with stiff neck. high wbc, and inflam markers. low iron count. fatigued. dexamethasone shot settled stiff neck, hands and knees. now I have a new rash which resembles chickenpox. (I have had chickenpox as a child). this doesn't seem to be as widespread. the stiffness is returning slowly. stiff hands have been for approx. 1 yr.
Mon, 13 May 2013
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Dermatologist,  's  Response
Hi,
Thanks for writing to us.
Fever, itchy erythematous rash, stiff neck, high WBC count points towards a viral etiology. At this stage when the diagnosis is not confirmed I would advise you to avoid steroid shots. Fever with stiff neck may be a sign of impending meningeal involvement. Another possibility could be autoimmune connective tissue disorders ( systemic lupus erythematosis, rheumatoid arthritis etc) . I would advise that you meet a physician and dermatologist for proper evaluation and treatment.
Regards
Dr kalpana
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Erythematous Widespread Rash, Itching, Fever, High WBC, Low Iron Count. Treatment?

Hi, Thanks for writing to us. Fever, itchy erythematous rash, stiff neck, high WBC count points towards a viral etiology. At this stage when the diagnosis is not confirmed I would advise you to avoid steroid shots. Fever with stiff neck may be a sign of impending meningeal involvement. Another possibility could be autoimmune connective tissue disorders ( systemic lupus erythematosis, rheumatoid arthritis etc) . I would advise that you meet a physician and dermatologist for proper evaluation and treatment. Regards Dr kalpana