Have itchy rash all over body. No relief from prednazone, atarax and benadryl. What could be this?
Thanks for your query to healthcare magic.
I would like to know a few more details to help you better:
1. For how long he is having this problem?
2. Is he having any other medical problems like diabetes, hypertension etc? If so is he taking any medications for that?
If his problem has been going on for months it probably could be urticaria vasculitis. Also you have eliminated all the possible allergens.
Initial standard treatment for urticaria(allergy) has already been tried by you and not responding, it is time that you visit a dermatologist, he will evaluate your son by doing basic blood tests and if needed a skin biopsy to confirm diagnosis. He may prescribe steroid sparing drugs like colchicine, azathioprine etc, with lesser side effects & better response.
Im happy to help you with any further queries in this regard.
Dr. Balaji Chinnasami, MD
1. The skin rash started approx. 18 days ago on April 4th, 2013.
2. My son does not have diabetes. He had himself checked for that a short while ago & his blood-glucose level was ok. His blood pressure did go up at the same time as the rash, but the doctor has not given him any medication for that.
3. My son is under a lot of work-related stress & the doctor feels that the rash may be related to stress since none of the medication seems to have worked so far.
4. The intense itching & lack of proper sleep is making him very tired, drowsy & irritable. He just wants some relief from the itching & wants it to stop.
Thank you very much for any further suggestions you may have.
Thanks for giving me more information about your son's condition.
Any urticaria less than six weeks has a good chance of resolving. So lets hope for the best. Definitely stress has a lot to do with aggravation of symptoms. If possible let him take a break or atleast reduce the workload. A small vacation to a cooler place will definitely help.
As said earlier he needs to be definitely shown to a dermatologist. He will do skin tests to identify possible triggers. Because avoiding trigger is the best available treatment. But in half of the cases you might not find a trigger. Your son also needs a good medical check up to see nothing serious is going inside.
You can discuss with dermatologist regarding using less sedative antihistaminics and steroid sparing drugs. Calamine containing lotions can soothen his skin and reduce itching.
Some amount of patience is needed. But definitely his itching will resolve over a span of time. Just show him to a dermatologist.
Take care. If you have any further queries I am happy to help or else kindly close the query and rate it.
Dr. Balaji Chinnasami MD
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