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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat shingles causing rash spreading to back, arms and underarms?

91 year male shingles patient needs the RIGHT treatment. Not for Psoriasis. Not for excema. Not for dermatitis. Two months and counting none of the creams are stopping or curing. No internal med has been prescribed and this is his second bout of shingles since he had colon cancer and treatment 95-96. Now the pimples/rash spreading to his back. arms, underarms. Cyclovir and now Triamcinolone Acetonide cream 80 grams this past week? Applied 2x daily...
Thu, 27 Dec 2018
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Dermatologist 's  Response
Hi,

Herpes zoster or shingles is likely to relapse in an immunocompromised patient like this having colon cancer. Give him antiviral like tab acyclovir 800 mg thrice a day for few weeks.

Apply silver sulfadiazine cream on the affected areas. Pimple like lesions called acneform eruptions may be due to steroids. They might disappear after tapering the dose of steroids.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilyas Patel, Dermatologist
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