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    Suggest treatment for rashes on the neck

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Posted on Wed, 9 Aug 2017 in Skin Hair and Nails
Question: My husband is having lot of rash on the neck and head. photos attached.

It is spreading.

Dr has diagnosed herpes. and he is taking Zimvir tablets for last 6 days.
yesterday he took Cap. Phexin 750 mg as well.
please help.
doctor
Answered by Dr. Asmeet Kaur Sawhney 13 minutes later
Brief Answer:
Can't see any pictures, kindly upload them again or mail them

Detailed Answer:
Hi
Thanks for being at HealthcareMagic
I am unable to see any pictures.
Kindly upload them again under the report section or mail them to YYYY@YYYY as " Attention: Dr Asmeet ".
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Asmeet Kaur Sawhney 26 minutes later
images attached. Day-2 13th July and today
doctor
Answered by Dr. Asmeet Kaur Sawhney 17 minutes later
Brief Answer:
Continue valciclovir for another 4 days, apply topical antibiotic,

Detailed Answer:
I have reviewed the attached photographs.
Looking at the pictures of the nape of the neck the blisters seem to have settled and I can appreciate some crusting on the affected area.
It means the infection is starting to resolve.
According to me he should continue with tablet valciclovir 1 gram thrice daily for another 4 days to make a total of 10 days of antiviral medication.
Besides this apply topical antibiotic like fusidic acid cream or mupirocin cream on the affected areas twice daily to avoid secondary bacterial infection.
Herpes zoster takes time to settle.
It can take upto 3 weeks to subside.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Asmeet Kaur Sawhney 12 minutes later
these blisters on the neck were not there yesterday. There were small red dots. They grew to brown crust. Then they grew overnight to form herpes blisters. they are not stopping. they are growing.

also I was applying momate f cream thrice a day after cleaning with savlon.
doctor
Answered by Dr. Asmeet Kaur Sawhney 44 minutes later
Brief Answer:
Don't use Momate F cream, can go for tzanck smear

Detailed Answer:
Momate F cream contains steroid which should not be used on herpetic lesions.
Appy a plain antibiotic cream on the affected areas after washing with plain water. Don't wash with savlon.
It will further irritate the skin.
Moreover lesions of herpes will come up for few more days before stopping completely.
He will just have to continue with the antiviral medication.
Is he diabetic or immunosuppressed or taking any long term medicines?
In case of doubt you can go for tzanck smear test of any blister from a laboratory.
That will be 100 percent confirmatory of herpes zoster infection.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4403 Questions

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