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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cystic Acne And Rashes On The Hands, Feet And Calves?

I have a rash on bilateral wrist, palms, feet ,ankles and sparsely spreading to calves. I have tried multiple OTC steroid,fungal and benadryl creams/ointments.Rx s include betamethasone variances, steroids including class 4.At the same time this rash occurred..cystic acne evolved. Clindamyacin gel and trentoin gel.Biopsy of rash stated compatible with Lichens Planus and facial was not biopsied but said to be hormonal cystic acne.all treatments including high dose oral prednisone titration have failed. RA blood tests negative.
Thu, 8 Nov 2018
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General Surgeon 's  Response
Hello,

As a first line management, you can use Clindamycin lotion for symptomatic relief.

If lesion persists better to consult a dermatologist and get evaluated.

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

Regards,
Dr. Shinas Hussain,
General & Family Physician
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What Causes Cystic Acne And Rashes On The Hands, Feet And Calves?

Hello, As a first line management, you can use Clindamycin lotion for symptomatic relief. If lesion persists better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician