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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for recurrent rashes

My son has had a recurring rash for about 3-4 weeks. It first appeared when he, his dad, and sister had been in a motel hot tub..(earlier that day he had been to the ER to have a fishing lure removed from his finger and received an antibiotic shot). The rash lasted less than an hour and didn t appear until a week later when he got out of our pool, then again a few days later after fishing the river. After that the rash appeared during school. Each time it lasted an hr or less. Took him to the Dr. And he has been on kefelx 500mg for 5 days and it is still happening.. Should I give the antiobotics a few more days?
Tue, 31 Mar 2015
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Dermatologist 's  Response
Hello,
Thank you for posting on HCM.
The condition your son is having is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues.
Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc.
As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases.
Hope this will help you in resolving your query.
Thank you
Dr Hardik Pitroda
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Suggest treatment for recurrent rashes

Hello, Thank you for posting on HCM. The condition your son is having is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query. Thank you Dr Hardik Pitroda