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Cause for skin rashes in neck, leg? How to cure? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:i am getting rash on my skin
User:i dont know why at some places
Doctor:Rash is usually a feature of allergy/hypersensitivity.
Doctor:Infections being the second cause of such rashes.
Doctor:The location, size, color, presence of other associated features can provide clues to differentiate between hypersensitivity/infection.
Doctor:Have you seen any doctor in the past for these rashes?
User:I am getting this from last 2 weeks
Doctor:Where exactly are these rashes located?
User:its small at some places only like neck 2- 3 spots
User:on leg 1-2 spots
Doctor:Can you describe the size and colour of the rash?
Doctor:Is there any itching associated with it?
User:n now started coming on my face also near nose
Doctor:Is it elevated above the skin?
User:yes in the starting then it becomes lil red n then it becomes dry
User:yes some whst elevated
Doctor:Any pus pointing?
User:it becomes dry n brown in color
Doctor:Are you having fever, headache, body ache associated?
User:no nothing
User:can i send u picture of it?
Doctor:Any new cosmetics products used?
Doctor:Any medications used recently.
Doctor:Yes, you can send a picture. A close up picture taken with higher resolution camera can be helpful.
User:No i just did waxing before that it was near my arm at one place only now its coming everywhere
User:ok i will send in 5 in
Doctor:Let me know once the mail is sent.
User:ok 5 min more plz
Doctor:Few minutes, let me look into the mail.
Doctor:The picture received does not clearly describe the lesions.
Doctor:Can you specify how big are these lesions?
Doctor:I have to close the window as you are not responding.
Doctor:Please chat with us 24/7 if you have any medical query.
User:r u there?
Doctor:Welcome back.
User:yeah..did u see those images?
User:its aroung 1cm in diameter
Doctor:Yes, I was able to view the images sent, however the lesion in question was not clearly made out.
Doctor:Based on what I see, it looks more like an infective lesion secondary to fungus.
User:nearly circular with 1cm diameter
Doctor:I would suggest you two mode of treatment.
Doctor:1. Visit a dermatologist for a detailed examination. He/she can examine the lesions under broad light, perform a few test to confirm the nature and diagnosis of the lesion.
User:i dont know any good dermatologist here in bangalore
Doctor:2. Apply antifungal creams such as Candid or monistat or flucon on the lesions for a week and see the response.
Doctor:Fungal lesions should subside with this therapy.
User:are they available in medical stores?
Doctor:If lesions respond to antifungal medications, the same can be continued for 2-3 weeks.
User:can u give me names?
Doctor:Yes, the antifungal creams are available over the counter at all pharmacy stores.
Doctor:Candid cream is commonly available brand containing clotrimazole.
Doctor:Alternate brands which can be obtained are monistat or flucon.
Doctor:All these have similar potentials.
User:what is it happening?
Doctor:As I said, from what I could see this looked like some fungus.
Doctor:Contact dermatitis would be the second close possibility for the same.
Doctor:You could know the difference either by a personal face to face consult with a dermatologist or
User:how should i avoid it is it because of something in food or any other thing causing it?
Doctor:by trying antifungal medications first on these lesions.
Doctor:Contact dermatitis is an allergy/hypersensitivity related condition that occur due to contact with certain allergens on the skin.
Doctor:The allergens can be anything ranging from cosmetics, food, dust, clothings or any other external factors.
Doctor:Have you followed?
User:ok i will try those anti fungal creams first for one week
User:actually i am going home in april there i know many dermatologists
User:is it ok if i try those creams up to april then show it to a doctor?
Doctor:The lesions seen on the pictures doesn't look very concerning to me.
Doctor:You could try the antifungal cream for a week, if there is no response to it, please stop it.
Doctor:You can wait and see a dermatologist 2 months down the line if the lesions are not troubling you or if the lesions are not spreading any more.
Doctor:Have you followed?
User:ok then its ok if i show it to a doctor in april
Doctor:I would take the decision to see the doctor after 2 months if the lesions is not spreading any more and if there is not significant itching or skin color and contour changes with it.
Doctor:You could try the antifungal cream for a week.
User:they are not spreading at one place but occurring at different places
User:small small spots
Doctor:If there is no improvement, stop it and monitor the spots closely.
Doctor:If the spots are not increasing in size and if there is no severe itching or redness or any other changes, you can wait it out till april.
Doctor:Have you followed?
User:ok i am stopping myself from itching...i can easily do that no severe itching as such
Doctor:That is good to know.
Doctor:I hope they improve.
Doctor:Do you have any other query?
User:but now they are like 19-20 spots all over
User:mostly on neck ...i have one concern is it because of dandruff?
User:but then how can it happen on leg ? Just a doubt?
Doctor:Dermatitis is associated with multiple factors including dandruff; however dandruff induced dermatitis are more commonly located on the face, behind ears, nape of the neck, chin, eye brows. They rarely occur on the limbs.
Doctor:I would rather attribute to other allergens/contacts.
Doctor:The need of treatment will depend on how severe and fast the lesions are spreading
Doctor:and the symptoms you have.
Doctor:If they are not causing any significant symptoms and if they are not spreading significantly, you can wait till april to see a dermatologist.
Doctor:Have you followed?
User:yes thanks for your help
Doctor:Do you have any other query?
User:No thats all
User:Thanks again :)
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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