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Suggest effective treatment for vasculitis

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Posted on Tue, 19 Jul 2016
Question: how is vasculitis treated and can it be stopped from
reoccurring
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Vasculitis ? / Under Evaluation

Detailed Answer:
Hi,Dear!! Thanks for the query to HCM.
Though your query details are incomplete,I Read and reviewed the query in context to your health issues,
-suffering from Vasculitis,which accompanied with itching
-itching not relieved after gel application

I would need more details for exploring further suggestions in your case. Please give More details-
What complaints do you have ?Please give details?
Which limb/limbs you have these complaints?
Do you have any Varicose Veins in the past?
Do you have any DVT(Deep Vein Thrombosis)?
Do you have any medicines ?

Awaiting your response...

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mukund Savaskar (8 hours later)
My vasculitis occurs in my ankles and feet. Started with red spots and itching.My ankles have become discolored, and not returned to my normal color. The spots keep returning and have traveled upward to my knees. They disappear after 3 to 4 days, but always return. I have no vericose veins or DVT. I was given Mometsone Furoate Ointment 0.1%. I could see no improvement.
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
? Spider Veins from Incompetent hidden Varicose Veins / Under Evaluation

Detailed Answer:
Brief Ans-? Spider Veins from Incompetent hidden Varicose Veins / Under Evaluation

Mostly due to -Varicose Veins with dermatitis from leaking engorged Venules around the ankle


Detailed Answer:
Hi,Dear!! Thanks for the query updates to Me.
Read and reviewed facts and updates of your query, in context to your health worries.

My Opinion-
Dear after reviewing last updated information,You mostly seems to suffer from Spider Veins-Which are engorged Venules,from the undetected Varicose Veins with severe incompetent deep or superficial veins or Varicose veins with hidden DVT(Deep Vein Thrombosis).

Your submission of having discoloured ankles(purplish ankle) with itching, proves that this is due to -Varicose Veins with dermatitis from leaking engorged Venules around the ankle.
The dermatitis and itching with it -is caused from reaction to the blood leaked in to surrounding ankle subcutaneous tissue.

Other causes need to be ruled out by Consults General or Vascular Surgeon, soon.

Do' Suggested-
To control these upgrowing spider veins and discoloured ankle,you need to Consult Vascular Surgeon and get EVLT to correct the reverse vein flow from the incompetent leg veins.

Care-Prior to this surgical treatment-
Get USG with Colour Doppler Study done.
Itching could be controlled with tab loratadine,

but would resolve only after following preventive care-
Rest to the legs, with sleeping in head low position x 2-3 weeks
Start Using VenoStockings.
Avoid long standing job works.
Tab Dafflon- 300 mg x 3 times aday x 3 weeks
Tab NSAIDS-Motrin- 400 mgm x 2-3 times x 10 days
Tab Chymoral forte-1 x 3 times a day x 2-3 weeks
Antibiotis -orally to control any accompanied infection around ankle.
Tab Zincovit 1 / day x 2-weeks

Stop Using any cream, as it would only keep the area wet and prone to more infection in this compromised skin around ankle.
ALERT-
Planned EVLT with sclerotherapy is the only solutions for to avoid recurring spider veins , growing upwards in the legs.
No medicines would correct the Vein defect you have.

Next appointment-
Only after 2 weeks time if the problem increases.

Hope this reply would help you to plan further care to resolve your health issues.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services.


Keep Me updated,if you want to update more details and ask more update queries ,

You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest effective treatment for vasculitis

Brief Answer: Vasculitis ? / Under Evaluation Detailed Answer: Hi,Dear!! Thanks for the query to HCM. Though your query details are incomplete,I Read and reviewed the query in context to your health issues, -suffering from Vasculitis,which accompanied with itching -itching not relieved after gel application I would need more details for exploring further suggestions in your case. Please give More details- What complaints do you have ?Please give details? Which limb/limbs you have these complaints? Do you have any Varicose Veins in the past? Do you have any DVT(Deep Vein Thrombosis)? Do you have any medicines ? Awaiting your response... Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS