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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for sarcoidosis

Answered by
Dr.
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3918 Questions

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Posted on Thu, 29 Jun 2017 in Skin Hair and Nails
Question: I think I have sarcoidosis.my doctor thinks its shingles but he said that's a strange place for shingles. its on my hand, prescribed triamcinolone acetonide cream usp,0.1% 5
doctor
Answered by Dr. Ivo Ditah 1 hour later
Brief Answer:
For how long have this been going on?

Detailed Answer:
HI and thanks so much for this query.

I have reviewed your information and the attached image. I will like to understand more about that onset and duration of this rash. Sarcoidosis will certainly be a chronic duration while shingles would have been an acute onset. This piece would be very helpful in further weighing on. Also, describe how this rash developed.

I look forward hearing from you!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah 5 minutes later
it just showed up all at once about 4 months ago
doctor
Answered by Dr. Ivo Ditah 25 minutes later
Brief Answer:
Unlikely to be sarcoidosis.

Detailed Answer:
HI,

This is unlikely to be sarcoidosis given the acute nature. I will rather agree with what your doctor said though this is an unlikely location. However, I will suggest that your doctor does a biopsy and also looks at you HLA-B27 titers.

Keep me posted on this!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah 4 hours later
doesn't shingles hurt? I don't have pain. or itching.
doctor
Answered by Dr. Ivo Ditah 4 hours later
Brief Answer:
From the beginnning you had no pains?

Detailed Answer:
HI,

If this was not accompanied by pain from the beginning, then something isn't right and I will not put shingles as first diagnostic possibility. I will strongly recommend a biopsy for definitive diagnosis. Also, get the HLA-B27 titers done for further guidance.

Kindly keep me updated on this!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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