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Ask Dr. Yogindra Vasavada Your Own Question
Dr. Yogindra Vasavada
Dr. Yogindra Vasavada, Pediatrician
Category: Pediatrics
Satisfied Customers: 3122
Experience:  M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
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My daughter has a rash spreading from onside elbow area of

Customer Question

My daughter has a rash spreading from onside elbow area of both arms, back of both knees, red dots. We have treated with Gyne Lotrimine, hydrocortisone, Benadryl at night, Zyrtec during the day. First less doc thought virus. Rash spread. Second prda doc said allergies, recommended testing, but antihistitimines not relieving it at all.
Going on a week and a halt, spreading.
She is fourteen, normally no allergies to food or grass or anything known.
Last contact with grass: 3 days. No new foods, borrowed clothes or cosmetics, no change in soaps lotions powders 94 shampoo type products.
No change to our foods,or water.
Rash growing by the hour.
Submitted: 1 year ago.
Category: Pediatrics
Expert:  Dr. Yogindra Vasavada replied 1 year ago.
Hello,
Please upload pictures of these lesions.
If not itchy, unlikely to be allergy. Virus rash will be all over body or may fill up with fluid.
Please consider consulting an endocrinologist because adrenal hormone deficiency is likely to cause rash and pigmentation around joints, usually knuckles.
Customer: replied 1 year ago.
Very very itchy. Getting more itchy. Rash progressively spreading also.
Customer: replied 1 year ago.
Spreading to neck, torso below breasts, none on her back or feet. Just behind knees, inside and outside of elbows (more and spreading) neck is new today, fingers (more and spreading), torso front upper (new today).Antihistamines ineffective. Itch is maddening and making her cry. Hydrocortisone ineffective (topical).Doc recommended Zyrtec adult dose 10 mg days, Benadryl 25 mg night. On call peds doc played upping Benadryl to 50 mg (5'6" 138#).
Customer: replied 1 year ago.
Did pics come through?
Expert:  Dr. Yogindra Vasavada replied 1 year ago.
Yes the pics show redness around small yellow dots. Blood work and even scrapping lab test for fungus may be done. Skin biopsy may be advisable if a pediatric dermatologist agrees. Benadryl 50 mg at night is OK.
Short oral steroid prescription may be taken if scrapping is negative for fungus. If any candida like germ found, oral antifungal may be required for 2-3 weeks.
Steroid cream may be covered with occlusive dressing like thin plastic sheet to avoid absorption into clothing and better penetration.

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