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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Rashes On The Scalp, Legs And Back Indicate?

I have a rash that started on my scalp and progressed down to my legs..then stomach and back. It started four weeks ago..I have been to an internist...the hospital..and one of the best dermatologist in Ocala. I have been treated with antibiotics..fungal medication...Prednisone...Visteril. I cannot get a diagnosis and it is horrid. The itching is so bad I am bruising. I feel it must be auto immune....I m just so frustrated....any recommendations are welcome. The dermatologist told me there was nothing to scrape? I see bumps....it is not folliculitis....scabies....or any kind of poison ivy....not shingles.....
Mon, 18 Dec 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. As the symptoms are now chronic and consultation with an Internist, a dermatologist has not proven to be much beneficial, thus without being able to examine you directly, I'm of the following opinion:

i. As the symptoms are still persisting and worsening it is best to get a second opinion from a Dermatologist [since it requires a close physical examination] in accordance with the origin of rash to exclude conditions like atopic dermatitis, seborrheic dermatitis, irritant or allergic contact dermatitis, psoriasis, urticaria.

PS. skin biopsy is best to determine if the symptoms are caused by another skin condition or sometimes direct immunofluorescence test is done for the presence of antibodies.

ii. sometimes in people with celiac disease [gluten intolerance] similar symptoms do occur and result in a condition called as dermatitis herpertiformis [DH] which is an autoimmune [AI] condition and may occur independently or secondary to other types of AI diseases like rheumatoid arthritis, vitiligo, hypothyroidism, Sjogren syndrome.

PS. consult a Gastroenterologist/Rheumatologist to exclude such causes [if any]

iii. Till you get an appointment, apply fluticasone with mupirocin cream, and take an antihistamine such as loratadine [twice a day]if itching is present and make sure not to pinch/squeeze the area as it may lead to secondary infection.
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What Do Rashes On The Scalp, Legs And Back Indicate?

** Thanks for contacting with your health concern 1. As the symptoms are now chronic and consultation with an Internist, a dermatologist has not proven to be much beneficial, thus without being able to examine you directly, I m of the following opinion: i. As the symptoms are still persisting and worsening it is best to get a second opinion from a Dermatologist [since it requires a close physical examination] in accordance with the origin of rash to exclude conditions like atopic dermatitis, seborrheic dermatitis, irritant or allergic contact dermatitis, psoriasis, urticaria. PS. skin biopsy is best to determine if the symptoms are caused by another skin condition or sometimes direct immunofluorescence test is done for the presence of antibodies. ii. sometimes in people with celiac disease [gluten intolerance] similar symptoms do occur and result in a condition called as dermatitis herpertiformis [DH] which is an autoimmune [AI] condition and may occur independently or secondary to other types of AI diseases like rheumatoid arthritis, vitiligo, hypothyroidism, Sjogren syndrome. PS. consult a Gastroenterologist/Rheumatologist to exclude such causes [if any] iii. Till you get an appointment, apply fluticasone with mupirocin cream, and take an antihistamine such as loratadine [twice a day]if itching is present and make sure not to pinch/squeeze the area as it may lead to secondary infection.