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Suggest treatment for itchy skin rashes

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Posted on Wed, 1 Apr 2015
Question: Hi Doctor XXXXXXX Pitroda, plz find the attached images of my dkin rashes which you have asked for.
doctor
Answered by Dr. Hardik Pitroda (14 hours later)
Brief Answer:
History requested

Detailed Answer:
Hello
Thank you for the pictures.
From the review it seems you are having urticaria which is an allergic skin rash.
Before I could conclude my diagnosis, I would like to ask few questions:
1. Does the lesions itch and are they painful?
2. Do the lesions disappear after few hours? Are they ever persistent for more than 24 hours?
3. Is there any history of swelling around eyes/lips?
4. Any particular activity after which such rash usually appear? ( Food, Medications, exercise, temperature, etc )
Hope you will revert soon with the details asked for.
Thanks
Dr Hardik Pitroda
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Pitroda (10 hours later)
Hi Doctor, thank you for your concern. The rashes are not painful but it itches a lot abd spreads very quickly. The rashes mostly remains more thsn 24 hrs and then disappers and new rashes comes out on other parts of the body. There are no swelling kind of thing and not able ti find out the source if the rashes till now.

Thanks
XXXX
doctor
Answered by Dr. Hardik Pitroda (11 hours later)
Brief Answer:
Oral antihistaminics for long duration

Detailed Answer:
The history suggests that you are having chronic urticaria.
Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues.
Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc.
As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet.
I would also advise you various anti-histaminics (Desloratidine, Levocetrzine etc) for long duration( atleast 3 months) with or without oral corticosteroids.
Apply soothing calamine lotion over rash thrice a day.
For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases.

Thank you
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Hardik Pitroda

Dermatologist

Practicing since :2010

Answered : 1489 Questions

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Suggest treatment for itchy skin rashes

Brief Answer: History requested Detailed Answer: Hello Thank you for the pictures. From the review it seems you are having urticaria which is an allergic skin rash. Before I could conclude my diagnosis, I would like to ask few questions: 1. Does the lesions itch and are they painful? 2. Do the lesions disappear after few hours? Are they ever persistent for more than 24 hours? 3. Is there any history of swelling around eyes/lips? 4. Any particular activity after which such rash usually appear? ( Food, Medications, exercise, temperature, etc ) Hope you will revert soon with the details asked for. Thanks Dr Hardik Pitroda