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Hi, My Husband Is 62... Right Now He Has Terrible
Posted on
Tue, 4 Jun 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 4 Jun 2019
Answered on
Last reviewed on
Question : Hi, my husband is 62... right now he has terrible skin sensitivity on backs of legs and back... he has chills but no fever...he has what looks like genital herpes... and this just showed up 2 weeks ago... he is going to see his urologist in one month. the "sores, which have yet to be diagnosed " .... were going away....now that all this skin sensitivity here they are back with a vengeance.... he is not wanting to seek immediate help... he slept 15 hours yesterday... cannot eat, and is back in bed...what might this be??
Brief Answer:
Herpes
Detailed Answer:
Hi.
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
The symptoms which you have described,typically goes with a diagnosis of Herpes.This may or may not have prodorme and fever.
Kindly share a pic of the lesion,which would help me evaluate further.Is he having a comorbidity like diabetes ?
Herpes simplex and Herpes Zoster(varicella) share exactly the same symptoms with clusters of painful vesicles.
Only difference between them is that zoster follows a dermatological distribution of nerves. Disseminated herpes simplex and disseminated herpes zoster may be clinically indistinguishable.
If he is not on any other medications for any other diseases,the possibility of SJ Syndrome does not exist,which has similar eruptions due to some drugs.
For herpetic patients,I usually go for Serological HSV 1and HSV2 Test and get it confirmed by viral PCR Test and viral tissue culture and biopsy.
You can give NSAID like Advil for pain and inflammation.Gabapentine or amytriptaline are given for severe pain.
Apply topical calamine lotion and do 5 percent aluminium acetate dressing.
Acyclovir 200 to 800 mg 6 times a day (4 hrly) is the antiviral drug of choice.It is usually given for 7 to 10 days and treatment is more effective if started within 72 hrs of rash onset.
At times,prophylactic antiviral for frequent recurrences for up to 6 to 12 months is given.
Valaciciclovir is used for chronic suppression.
If there is intractable itching,antihistamines like levocetrizine can be given in dose of 10 mg at bed time.They are non sedating.
Better,if the treatment is taken under the able guidance of a clinician and preferably a dermatologist .
Hope that I have answered your query.
If you have any doubts,please let me know.
Regards
Herpes
Detailed Answer:
Hi.
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
The symptoms which you have described,typically goes with a diagnosis of Herpes.This may or may not have prodorme and fever.
Kindly share a pic of the lesion,which would help me evaluate further.Is he having a comorbidity like diabetes ?
Herpes simplex and Herpes Zoster(varicella) share exactly the same symptoms with clusters of painful vesicles.
Only difference between them is that zoster follows a dermatological distribution of nerves. Disseminated herpes simplex and disseminated herpes zoster may be clinically indistinguishable.
If he is not on any other medications for any other diseases,the possibility of SJ Syndrome does not exist,which has similar eruptions due to some drugs.
For herpetic patients,I usually go for Serological HSV 1and HSV2 Test and get it confirmed by viral PCR Test and viral tissue culture and biopsy.
You can give NSAID like Advil for pain and inflammation.Gabapentine or amytriptaline are given for severe pain.
Apply topical calamine lotion and do 5 percent aluminium acetate dressing.
Acyclovir 200 to 800 mg 6 times a day (4 hrly) is the antiviral drug of choice.It is usually given for 7 to 10 days and treatment is more effective if started within 72 hrs of rash onset.
At times,prophylactic antiviral for frequent recurrences for up to 6 to 12 months is given.
Valaciciclovir is used for chronic suppression.
If there is intractable itching,antihistamines like levocetrizine can be given in dose of 10 mg at bed time.They are non sedating.
Better,if the treatment is taken under the able guidance of a clinician and preferably a dermatologist .
Hope that I have answered your query.
If you have any doubts,please let me know.
Regards
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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