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Dr. Andrew Rynne

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Suggest treatment for eczema

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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3519 Questions

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Posted on Tue, 26 Aug 2014 in Skin Hair and Nails
Question: My 7 year old daughter developed what looked like eczema behind the cartilige of her the upper half of her ear. She was prescribed 5ml oral suspended clindomyacin 3x day for a week in case it was bacterial and fluconisal cream in case it was eczema. The redness cleared quite a bit and the back of the ear looked better but then the spot moved to the back of the head directly adjacent to the initial spot on the ear. It is extremely itching and red. We went back to the pedi but had to see the nurse practitioner. She felt it was topical? (Surface skin related) and prescribed locoid cream but now there is a hard lump directly under the skin behind the initial site in the ear. It is very red, swollen and itchy to the touch.
It didn't clear up with the clindomyacin and the locoid isn't clearing it either. Any ideas?
doctor
Answered by Dr. Suresh Heijebu 3 hours later
Brief Answer:
TREATMENT IS CONSERVATIVE

Detailed Answer:
Hi sir,

I have carefully read your query and understand your concern. But was unable to see the image you uploaded. Would you be so kind as to re-upload it? Ask our Customer service team for help if you are having trouble, they will guide you.

As per your clinical history,post auricular rash not resolving to antibiotics,likely points to RUBELLA a viral infection in children,

This is generally a mild self limited infection associated with mild fever and body aches.

A throat swab test can occasionally be used to make the diagnosis.upload the image if possible.

No specific treatment is needed except paracetamol to control fever if any.

The rash usually clears by 3 days.

In my practice I like prescribing Syrup avil if itching is severe.

If you were in my clinic i would recommend that you stop locoid and fluconosol and continue using Clindamycin.

I hope this info is helpful to you ,
Post your further queries on http://bit.ly/drsureshheijebu
Thank you
Take care
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Suresh Heijebu 3 hours later
2 additional photos were uploaded. She has been vaccinated for rubella. There is not a hard nodule directly under the red patch behind her ear. Please advise as to wether this changes your opinion. Thank you
doctor
Answered by Dr. Suresh Heijebu 8 hours later
Brief Answer:
Non specific Fungal rash

Detailed Answer:
Hi

In case your kid is vaccinated against rubella,then there is extremely rare chance of contacting the disease.

I would like to certainly change my opinion on this.

I have seen the rash on uploaded image.

I have noticed an underlying lymph nodal swelling;which is most probably reactive in nature.

This rash in any case is not be worried ,as it could most likely be a non specific fungal infection ,as pronounced itching is present.

I advice you to apply Cotrimoxazole ointment 4-6 times/day for three days from here on if you were in my clinic.

I adopt a wait and watch policy for my patients at my clinic with such a rash.
rash should disappear in 3-4 days time.

In case if the rash does not resolve in 7 days or showed signs of exacerbation with systemic upset,i strongly recommend you to consult an expert Otolaryngologist for further management.

I hope this info is useful to you.
Thank you.
Take care


Above answer was peer-reviewed by : Dr. Prasad
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