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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red rashes on upper body including face. Allergy? Why lumps? Why spreading? Why itchy?

Hello! I am hoping you could help me. This morning I woke up with a red rash on my shoulders, forearms, on my sides and not much but some on my face as well. I usually have hay fever during this time of the year, which hasn t kicked in yet though. I thought that I was having some kind of allergic reaction . Went to work. By lunch time, the rash on my forearms was nearly gone. I then had a panini for lunch and some time later I noticed that the rash started coming back and getting worse. I am now at home and it got a lot worse. I will try describe what it looks and feels like. Red, patchy, with lumps (can be felt and seen. uneven - some small and some are quite large, but all flat.). It has spread as well. Back, sides, shoulders, neck , most of arms. Mostly upper body as far as I can tell. VERY itchy and I am starting to feel some kind of burning now as well, but mostly on my arms and neck, which might be because I still scratch from time to time as it s quite unbearable. I hope I have given a good enough description to tell me what this could be. Thank you!
Wed, 30 Oct 2013
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Dermatologist 's  Response
Welcome to healthcare magic.
You seem to having acute urticaria. It is similar to hay fever , but involvis the skin instead of your respiratory system.
There are several causes of acute urticaria like drugs, pollen, food, insect bites, infections to name a few. In many cases, a specific cause cannot be found out.
You could take antihistamines like fexofenadine by day and levocetrizine by night for about 2 weeks. If the rash is very severe or if it causes your eyes or lips lips to swell, you may need a short course of oral steroids.
Hope this helps you.
Take care.
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