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Dr. Andrew Rynne

Family Physician

Exp 18 years

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Suffering from rash and excoriation at sight due to iching, could this be a over dose of prednisone 20mg ?

10 year old 67# boy, otherwise healthy, up to date on vaccinations, rash started on wrist 3 days ago, excoriation at sight due to iching, increased redness on the underside of wrist, small rash spread to torso , legs, neck, and face near eyes. itchy rash. pt was placed on prednisone 20mg twice per day for 5 days by pediatric after hour clinic for suspected contact dermatitis . is this dose high? should there not be a taper?
Sat, 21 May 2011
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General & Family Physician 's  Response
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Prednisolone or for that matter any medicine is given according to the body weight of a person and in case of severe infection the higher permissible dosage is used.Prednisolone can be given in children 1-2.4mg /kg of weight in divided dose so if the boy is 10 yrs he will surely be around 25 kgs so the dose is fine and not a high dose.Short term use of steroid like 3-5 days or even a weeks treatment does not require tapering ;but if it is used for a longer period then tapering is done so that there is no steroid dependence and the complaint do not appear again after steroid is stopped.
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