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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rashes And Scabs

Serious Skin Problem HELP!
i am a 47yr.old female,that has been healthy my entire life,i have NEVER had a weight problem. I am 5'7",& my weight has always stayed in the range from 128lbs-145lbs. Untill i reached the age of 40,at 1st the weight gain,was not that noticeable, but in the last year, it has been COMPLETELY OUT OF CONTROL, along with SEVERE WATER RETENTION. About 8 mo.s ago,i was doing yard work,& was exposed to Poison Sumach,the worst part of my body that was exposed,was the lower portion of my legs,my doctor prescribed "MethlPREDNISolone Tablets, USP 4mg" it started to get a lot better,but was never completely gone,ihave been back to my doctor 2 more times,its so bad now,the rash on my legs has turned into large scabs,& if the scab is peeled back,lots of clear fluid seeps out,& itches severely, this started 8mo.s ago,& has only gotten a LOT WORSE,& the infected area covers over 50% of my legs,below my knees,& started out,only covering about 25% 8mo.s ago...PLEASE HELP!!!
Wed, 15 Oct 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

You seem to have an eczematous dermatitis on legs to the suspected plant. I could also judge this from the prescription ( Methylprednisolone Tablet ) and since you say that it scabs and when it peels off, clear fluid seeps out.

Weight gain issues could be because you have been on oral steroids (Methylprednisolone) and if it has been quite some time since you started steroids then this is most likely the cause for weight gain.
Steroids retain water which can manifest as pedal edema/swollen ankle and feet.

My opinion is that since you have a localized eczema, therefore rather than giving oral steroids, you can be asked to just apply topical steroids, and thus avoiding the systemic side effects of oral steroids like weight gain, raised blood sugar, osteoporosis, hypertension etc.

I would suggest that you seek an appointment with your dermatologist, and I am sure he would take you off oral steroids and prescribe topical steroids, instead.

Regards
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Suggest Treatment For Rashes And Scabs

Hello. Thanks for writing to us at healthcaremagic You seem to have an eczematous dermatitis on legs to the suspected plant. I could also judge this from the prescription ( Methylprednisolone Tablet ) and since you say that it scabs and when it peels off, clear fluid seeps out. Weight gain issues could be because you have been on oral steroids (Methylprednisolone) and if it has been quite some time since you started steroids then this is most likely the cause for weight gain. Steroids retain water which can manifest as pedal edema/swollen ankle and feet. My opinion is that since you have a localized eczema, therefore rather than giving oral steroids, you can be asked to just apply topical steroids, and thus avoiding the systemic side effects of oral steroids like weight gain, raised blood sugar, osteoporosis, hypertension etc. I would suggest that you seek an appointment with your dermatologist, and I am sure he would take you off oral steroids and prescribe topical steroids, instead. Regards