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Experiencing Rashes On Skin. On TB Medication Rifampicin, Isoniazid And Ethambutol. Get Hives On Wrist. Cause?

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Posted on Tue, 15 Oct 2013
Question: Hi Doctor, I have been experiencing rashes on my skin for the last 10 days. I have been on TB medication (rifampicin, isoniazid, ethambutol) for the last 4 months. The allergy startred only 10 days back. I get hives on my wrist if the wrisits come in contact with some heavy object for e.g., while carrying a laptop during travel. Please advise. I am uploading a picture of hives on my right wrist for your perusal.
doctor
Answered by Dr. Irshad H Naqvi (9 hours later)
Brief Answer:
Developing URTICARIA

Detailed Answer:
Hi Dear

ATT usually has nothing to do with this problem as you are already on ATT for past 4 months with out any much problem.

Your leison in the photograph is called as URTICARIA. It is a type allergic phenomenon, developed usually in response to some allergen acting locally. This could develop in response to some pressure/scratch/or contact to some object for which you were or have become sensitive.

You might need specific allergen test (skin patch test) to determine the right allergens. You will also need a course of antihistamine drugs cetrizine /levocitrizine daily once for one or two weeks.
Oral steroids may be used for added benefits.

In addition to the above, I also recommend deworming process to all my patients with similar complaints.

Hope the query is answered. Please feel free more clarification.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Irshad H Naqvi (2 hours later)
Thanks Doc for the detailed reply.I would like to know if I should refrain from any type of food. I have already stated taking levocitrizine since last night.Apart from the hives on the wrist I also get rashes on my back,neck and thighs specifically during the night. please advise if I need to stay away from eggs, milk or any other specific type of food.
doctor
Answered by Dr. Irshad H Naqvi (46 minutes later)
Brief Answer:
All suspected allergens to be avoided.

Detailed Answer:
Dear friend
It is always better to avoid the suspected element you are taking for long duration continously or off and on.

By personel experince also you can suspect and avoid some agents like eggs. tinned food,all food added with preservatives, some soft drinks,perfumes, creams, some soaps, body lotions ,sea food, dust etc.
Some times just touching some object may cause the problem.

Hope the query is answered.
More clatrification welcomed.
Thanks

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Irshad H Naqvi

Pediatrician

Practicing since :1989

Answered : 1194 Questions

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Experiencing Rashes On Skin. On TB Medication Rifampicin, Isoniazid And Ethambutol. Get Hives On Wrist. Cause?

Brief Answer:
Developing URTICARIA

Detailed Answer:
Hi Dear

ATT usually has nothing to do with this problem as you are already on ATT for past 4 months with out any much problem.

Your leison in the photograph is called as URTICARIA. It is a type allergic phenomenon, developed usually in response to some allergen acting locally. This could develop in response to some pressure/scratch/or contact to some object for which you were or have become sensitive.

You might need specific allergen test (skin patch test) to determine the right allergens. You will also need a course of antihistamine drugs cetrizine /levocitrizine daily once for one or two weeks.
Oral steroids may be used for added benefits.

In addition to the above, I also recommend deworming process to all my patients with similar complaints.

Hope the query is answered. Please feel free more clarification.

Regards