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200lb Male, 32 Years Old. Prescribed Single Dose Of Doxycycline
Question: 200lb male, 32 years old. Prescribed single dose of Doxycycline Hyclate (200mg) as precaution for tick bite. Dose taken 24 hours ago. Symptoms (first slightly noticed 12 hours ago) resulting are slight redness and tenderness of both armpits and single point above left nipple, center. Concerned of XXXXXXX XXXXXXX Syndrome is listed as possible side effect. Want to ensure that I don't need immediate medical care.
Brief Answer:
SJ Syndrome
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and images and here is my opinion.
SJ Syndrome is a diagnostic dilemma and diagnosed by careful medical examination,high degree of suspicion and skin biopsy.
The points which are against a diagnosis of SJ Syndrome in you are....
1.It is a very rare disease.
2.Fever,fatigue and flu-like symptoms always precede the appearance of rash.
3.Mucous membranes such as the mouth,lips,anal area,genitals are always involved and is "MUST"to diagnose SJS.
4.The rash is accompanied by erosive lesions.
5.Patients frequently experience burning pain of their skin at the start of disease.
6.Almost all patients of SJS have weakened immunity (like HIV,malignancies etc)
7.Most notorious drugs to cause SJS are Anti-gout medications such as allopurino,anti seizures(like phenytoin,valproate),anti psychotic drugs and painkillers NSAIDs.
8.Commonest antibiotics implicated in SJS are Penicillin,cephalosporins and fluoroquinolones like levofloxacin.It is very very rare with Doxy
9.The typical clinical course of SJS begins within 8 weeks (usually 4 to 30 days) after the first exposure to the causative agent.
Only in very rare cases (when there is re exposure),the symptoms may appear within few hours.
If you share the details of your symptoms in addition to the rash,that would help me to evaluate further.
Keep yourself well hydrated and ensure adequate nutrition.
If your symptoms do not improve,consult your clinician.
Stay healthy and stay blessed.
Regards
SJ Syndrome
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and images and here is my opinion.
SJ Syndrome is a diagnostic dilemma and diagnosed by careful medical examination,high degree of suspicion and skin biopsy.
The points which are against a diagnosis of SJ Syndrome in you are....
1.It is a very rare disease.
2.Fever,fatigue and flu-like symptoms always precede the appearance of rash.
3.Mucous membranes such as the mouth,lips,anal area,genitals are always involved and is "MUST"to diagnose SJS.
4.The rash is accompanied by erosive lesions.
5.Patients frequently experience burning pain of their skin at the start of disease.
6.Almost all patients of SJS have weakened immunity (like HIV,malignancies etc)
7.Most notorious drugs to cause SJS are Anti-gout medications such as allopurino,anti seizures(like phenytoin,valproate),anti psychotic drugs and painkillers NSAIDs.
8.Commonest antibiotics implicated in SJS are Penicillin,cephalosporins and fluoroquinolones like levofloxacin.It is very very rare with Doxy
9.The typical clinical course of SJS begins within 8 weeks (usually 4 to 30 days) after the first exposure to the causative agent.
Only in very rare cases (when there is re exposure),the symptoms may appear within few hours.
If you share the details of your symptoms in addition to the rash,that would help me to evaluate further.
Keep yourself well hydrated and ensure adequate nutrition.
If your symptoms do not improve,consult your clinician.
Stay healthy and stay blessed.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
No fever or flu-like symptoms. My fatigue is from two nights of not sleeping well I assume. No symptoms exist currently in the mouth, lips, anal area. No erosive lesions, not experiencing any burning sensations. I have no diseases or viruses currently. The only medication I took was doxycycline hyclate.
I am still tender under the armpits and on the left nipple, however the redness in the armpits has gone down. I have made an appointment for tomorrow afternoon with my primary care physician.
Thank you for your help!
I am still tender under the armpits and on the left nipple, however the redness in the armpits has gone down. I have made an appointment for tomorrow afternoon with my primary care physician.
Thank you for your help!
Brief Answer:
SJS
Detailed Answer:
Hi...
With such a symptomatology (absence of fever and flu like symptoms,no erosive lesions and non involvement of mucus membranes)it is very unlikely to be SJS.
You can take Advil for pain relief.
Happy living.
Regards.
SJS
Detailed Answer:
Hi...
With such a symptomatology (absence of fever and flu like symptoms,no erosive lesions and non involvement of mucus membranes)it is very unlikely to be SJS.
You can take Advil for pain relief.
Happy living.
Regards.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Yogesh D
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