How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Nair Your Own Question

Dr. Nair
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 8085
Experience:  MBBS, MD (Dermatology, Venereology & Leprology)
Type Your Dermatology Question Here...
Dr. Nair is online now
A new question is answered every 9 seconds

I have itchy flushed skin on my chest and neck area for

Resolved Question:

I have itchy flushed skin on my chest and neck area for about 4 weeks. Extremely itchy on the nipples. My face was also red and swollen. What do you think is my problem?
Submitted: 3 years ago.
Category: Dermatology
Expert:  Dr. Nair replied 3 years ago.
Hi,

Does this flushed appearance come and go or is it persistent?

Any hives since the flushing started?

Any diarrhea or asthma like symptoms?

Any acne like bumps on the face?
Customer: replied 3 years ago.
Hi,

The flushed appearance come and go, but was never completely gone. So it is either light pink or bright pink.

First I have goose bumps then they truned into small patches of hives or rash, only on areas surround the nipple on both breasts. At its worst, they look red/purple, angry, painful and extremely itchy. Any clothing.would make me uncomfortable.

Diarrhea yes, asthma no.

Only mild acne-like bumps on the forehead.

Also at one time I scratched my right eyelid and it got swollen at one corner like a dark color blister. It got bigger today.

Some history - I have had experience itchy nipples in the past years, starting at around 3-4 years ago, but was never this bad.

I have had contacted poison ivory each year for the last 3 years. But I am not sure this is poison ivory, because the problem is limited to my chest, neck and face and I don't have blisters. Although I did touch some plants in the garden 2 or 3 days before all this happened.

One more thing...I also have itchness in my private part (down there), with very small rash around the rectum at the beginning but was gone now. The itchness still come and go.

Expert:  Dr. Nair replied 3 years ago.
I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

Thank you for all the information. You seem to have two distinct problems. The symptoms of the face and neck are suggestive of either Acute Urticaria or Rosacea. Rosacea seems more likely since the redness in Acute Urticaria (hives) is not persistent.

There are numerous medical options for treatment of Rosacea. I usually start with Capsule Doxycycline 100 mg twice a day for 1 month and then once daily for 2-3 months + Metronidazole gel applied over the affected area in the morning and Tacrolimus ointment at night. + an SPF 50+ sunscreen. Sun protection is extremely important during therapy.

Lastly if possible I would recommend getting urine and blood tests for a rare condition known as carcinoid syndrome before the diagnosis of Rosacea is established.

NOTE: All of the above are prescription drugs however. I would recommend seeing your dermatologist/GP/Family physician and discussing my recommendations with him/her.

The nipple syptoms are suggestive of Nipple Eczema.This should respond to a mixture of 1% Cortizone cream mixed in equal parts with Bacitracin ointment applied twice a day for 7-10 days along with liberal use of moisturizers. Also take Tab Claritin 10 mg twice a day to help with the itching. All these are available over the counter without a prescription.

Hope this information is useful, please feel free to ask if you have any queries.


Customer: replied 3 years ago.
Thanks for the information.

The hives or rash around the nipples is persistent, just at time it is better and other time is bad and angry.

Can you tell me the treatment for Acute Urticaria? What causes it?
Expert:  Dr. Nair replied 3 years ago.
I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

You're most welcome! Acute Urticaria is usually caused by either intake of a new prescription drug like penicillin or an OTC drug like aspirin, systemic infection (either bacterial or viral), food additives or seafood or intestinal worms. The last is usually only of significance in children. Stress is also a major cause of an outbreak. There are numerous rarer causes, however if all of the above are ruled out then I always get a patients thyroid function test done as hypothyroidism is often a cause.

Many times it is not possible to find out the cause, however most episodes of acute urticaria are self limited, usually within 6 weeks of onset of symptoms.
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 8085
Experience: MBBS, MD (Dermatology, Venereology & Leprology)
Dr. Nair and other Dermatology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
< Last | Next >
  • http://ww2.justanswer.com/uploads/dermdoc19/2010-09-30_160749_Photo_122807_015.JPG dermdoc19's Avatar

    dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
  • http://ww2.justanswer.com/uploads/AX/axedoc2010/2012-4-9_193033_DSC96671.64x64.JPG Dr. Nair's Avatar

    Dr. Nair

    Dermatologist

    Satisfied Customers:

    7176
    MBBS, MD (Dermatology, Venereology & Leprology)
  • http://ww2.justanswer.com/uploads/DR/Dr.shahzad/2013-5-28_122559_IMG2564.64x64.JPG Dr. Shahz's Avatar

    Dr. Shahz

    Dermatologist

    Satisfied Customers:

    243
    MBBS, MCPS, MD
  • http://ww2.justanswer.com/uploads/tcsatish/2009-4-14_221547_satish_pp.jpg Dr. Skinner's Avatar

    Dr. Skinner

    Dermatologist

    Satisfied Customers:

    1548
    MD , DNB ( D &V), FAAD
  • http://ww2.justanswer.com/uploads/drhanish/2008-8-5_71640_drhanish.jpg Dr. Hanish Babu, MD's Avatar

    Dr. Hanish Babu, MD

    Dermatologist

    Satisfied Customers:

    261
    MBBS; MD 26 years Experience.
  • http://ww2.justanswer.com/uploads/DR/DrVenkat/2013-11-1_14129_profile.64x64.jpg Dr. S. Attili's Avatar

    Dr. S. Attili

    Dermatologist & Dermatopathologist

    Satisfied Customers:

    4121
    MRCP (Dermatology), Int. Board Certification in Dermatopathology
  • http://ww2.justanswer.com/uploads/SK/skindoctor2000/HCM2.64x64.jpg Dr. Pravin's Avatar

    Dr. Pravin

    Dermatologist

    Satisfied Customers:

    692
    Senior Consultant MBBS DNB (DVD)