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Symptoms of an auto immune skin disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi This is a difficut case, I have gradually been losing hair on the left and right side of my head at the hairline. I don't know if it will have any relationship, but I also have devoped some type of red rash on the insides of a couple fingers, as will as on top of the hand. It is itchy and sore.
Doctor :   Hi
Doctor :   How can I help you ?
User :   Hi doctor, I filled out my question above. I am experiencing hair loss and it is concerning to me.
Doctor :   Ok
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   certainly
Doctor :   What is your age ?
User :   49
Doctor :   Ok
Doctor :   Is your face, chest or back covered in small, pus-filled sacs or pimples, blackheads or sore, red bumps?
User :   no, I am told I have great skin, I only devoped this rash last summer. This rash gets almost inflamed, and then tiny cuts in the skin.
Doctor :   Ok
Doctor :   Do you have a flushed appearance, perhaps with redness around your cheeks, chin, forehead or nose?     
User :   no
Doctor :   Do you have blood oozing out of the rash ?
User :   I am taking 5mgs of cipralex a day, and50 mgs of trazadone at night, and I dont notice blood oozing from the rash. looks like little black specks
User :   black specks under the skin. very tiny
Doctor :   Ok
Doctor :   Have you seen a dermatologist and did he asy that you might have had Psoriasis or anything of that sort ?
User :   I have not seen a dermatologist. I think it would take me years to get an appointment. I hav'nt seen my regular doctor yet. I must say I am mire concerned about the haair loss. I have lots of hair, so I noticed some thinning, and then my hairdresser pointed it out.
Doctor :   Do you see any reddish patches or whitish patches on your scalp ?
User :   not really
Doctor :   Ok how about any itching ?
User :   I don,t think it is psoriasis, as there is no white scaleing on ths rash
User :   itching .....yes. sore as well
Doctor :   Ok
Doctor :   I feel you should immediately see a Dermatologist
User :   do any of the medications I am on cause hair loss or rash, Been on them for 1.5 years
Doctor :   As your symptoms prompt me that this may land up in some Auto-immune skin disorder most probably
User :   what is an auto immune disorder
Doctor :   Like Psoriasis there are many skin disorders, which have similar presentation.
Doctor :   Do you use any latex, rubber or any oils which you are allergic to ?
User :   I use an oil on my hair. latex gloves because I clean with them on to avoid chemicals. I think they help keep my rash better, than being imersed in water all the time
User :   I must saythat I never had any sin conditions in my life, just now
Doctor :   Ok, The medication you are using , Cipralex and Trazadone over a prolonged period of time cause Skin pruritis and Rash sometimes And itching .
Doctor :   If you are using them for Anxiety or Depression please consult your Psychiatrist or Family doctor to change the drugs or adjust their dosages at once.
Doctor :   Please let me give you a few steps which you can follow : Doctor :   1. First consult your treating doctor for change in medication
Doctor :   3. Other wise please show the skin rash t a deramtologist for he can take a saple and do microscopy and give the diagnosis.
Doctor :   Hope you have followed.
Doctor :   Do you have anything else to be answered ?
Doctor :   Thank you for consulting me.
Doctor :   Take care
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