Dermatology Questions? Ask an Online Dermatologist.
Hi there ...
Thank you for the question ...
Hives could be the strong possibility , this is basically a allergic reaction , it would be ideal for you to ask him to start Tab Benadryl twice a day .
If Hives spread than she can get Injecatble anti-histamine from ER .
Last but not least ER visit should be kept in mind .
Regards ***** ***** luck .
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Ask her to start Tab Benadryl ....
Thank you for your question. My name is***** - I am a Dermatologist and will do my best to provide a useful input.
Would a photograph of the affected area be possible at your convenience? Its very hard to comment on the problem without seeing it - hives typically do not produce dried skin bumps on the body.
Please note this is not an answer - just a request for more information so I can provide with you with an accurate answer.
Thank you for the photograph - these look more like small white bumps on the skin - can you please upload some more photographs, possibly some with a flash?
You're most welcome and I will continue to do my best to help - only thing its past 12 am in my part of the world and I need to call it a night as its a working day tomorrow. Would it be okay if check in tomorrow morning for the photographs? If not I will opt out to allow other doctors to try and assist you. Do let me know.
Thank you very much, look forward to continuing this tomorrow. Have a great day!
Thank you for the additional photographs. This rash looks most like a condition called Pityriasis Rosea.
Pityriasis Rosea is a harmless skin condition which normally starts on the trunk. It can start in other areas as well but usually the trunk is worst affected as in your wife's case. The strongest evidence is that it caused by a virus (HHV 6&7). Even so it does not spread from person to person, so you needn't worry on that account. Once the rash appears it usually spreads for 2-4 weeks before stabilizing.No treatment is required as the rash is self limiting (the rash does not respond to steroid creams, antifungal creams). It usually takes 6-8 weeks (often more) for the rash to disappear and it does so without any scarring. Just keeping the skin well moisturized and if the itching becomes severe enough at any point to be troublesome taking Tablet Claritin 10 mg once or twice a day is sufficient management. In cases where the rash is explosive or widespread a 7 day course of an antiviral like Valacyclocir can shorten the duration of symptoms.
Other possibilities would be an acneiform eruption, atypical guttate psoriasis, disseminated granuloma annulare, and contact allergic dermatitis (CAD). CAD can be caused by a new detergent so it would be the second possibility in your wife's case. Hence you can try applying 1% Cortizone lotion twice a day on the rash to see if that helps - you can buy this over the counter without a prescription. If you don't see any improvement over 1-2 weeks then CAD is unlikely.Please feel free to ask if you have any queries.