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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blotchy Rashes On Joints And Knees?

I have red blotchy rash, hot to touch, worse around joints under arms, kindly suggest red blotchy rash, hot to touch, worse around joints , under arms near armpits and wrists, inner thighs, tops and sides of feet About once a year, usually in the spring, I get an allergic-like rash. Hot, itchy patches of small bumps that are worse around my joints. Rash is on tops and sides of feet. Ankles. Knees and behind knees. Inner thighs up to groin area. Outer thighs. Buttocks . Under side of arms and wrists. Nothing on my torso , not belly or back.
Wed, 29 Apr 2015
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Dermatologist 's  Response
Hello,
Thank you for posting on HCM.
The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues.
Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc.
As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases.
Hope this will help you in resolving your query.
Thank you
Dr Hardik Pitroda
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What Causes Blotchy Rashes On Joints And Knees?

Hello, Thank you for posting on HCM. The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query. Thank you Dr Hardik Pitroda