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10 year old having HSP. Got treated with steroids. Rashes on the chest and hands. Causes?

I have a 10 year old daughter with a history of hsp. Last episode was in April and she was on 60mgs of steroids for 3 months with gradual reduction. She has been off of steroids for a month. last week she had a strange rash on her chest . This evening she had red lines on her hands and arms--look like she has been clawed....they just appeared.
Asked On : Sun, 23 Sep 2012
Answers:  2 Views:  148
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Diseases and Conditions
Pediatrician, Neonatology 's  Response
It seems your daughter had a severe HSP - she required a high dose of steroids. (which is not usual).
HSP can recur
The rash you describe may not be HSP / It can be scratch mark or skin irritation - Still you have to watch and need medical opinion in view of the previous issue
Steroids could also cause a skin condition = striae
Good Luck
All the best
Answered: Wed, 26 Sep 2012
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Pediatrician Dr. Taher Kagalwala's  Response
If your daughter is off steroids or any other specific therapy, it would be important to determine the cause of the rash, sure. But at the same time, you should remember that viruses of all kinds can produce these chaotic skin rashes. HSP generally remits over a period of months, and does not recur in the same patient.

The red lines could be pressure lines, allergic, or post-inflammatory in nature.

Apply calamine lotion or something equally soothing if the rashes are itchy in nature.
Answered: Wed, 26 Sep 2012
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