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Hi There. I've Got A Couple Of Lesions That Are
Question: Hi there. I've got a couple of lesions that are itchy, scaly and slightly raised. I've had them on and off for around 8-9 months, but have suffered with ezcema since childhood. I rarely have outbreaks but they're most common during winter. The legions that concern me are on my stomach and upper right thigh. They do disappear but then come back again, in the same place with exactly the same symptoms. I take Citalopram 20mg and due to circumstances, have reasonably high anxiety at the moment, particularly linked to XXXXXXX So I thought I'd get an opinion on these! Pictures attached. Many thanks, Julie
Brief Answer:
Eczema is likely, detailed answer below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
By the explanation of the lesions (raised, itchy and scaly lesions) that happen on both sides (both thigs and over the stomach), that come and go but are almost always in the same place, eczema is the most likely diagnosis.
Unfortunately, I am not seeing any pictures, kindly upload them again
Mild forms of eczema are generally better with just a moisturizing cream or even just vaseline ointment applied to the lesions daily.
In more severe cases a local steroid cream is needed. In this case, if daily vaseline is not helping good enough, you may use betamethasone cream twice a day (thin layer) and during the midday, you may use vaseline ointment.
You should notice an improvement within the first 4-5 days of treatment. Treatment should be continued daily another few days after the lesions fully disappear.
Eczema has the tendency to recur so if you notice the rash come back, you may start with vaseline first and if needed with betamethasone cream.
To conclude:
- I am not able to view images of the rash, please upload/attach them again
- on the other hand, by your description very likely the rash is due to eczema.
- local applications of vaseline in mild cases, and steroids (betamethasone cream) in more severe cases, may be used.
- recurrence is likely, so try to keep your skin moisturized with vaseline once a day even if the lesions go away completely
- if there is no improvement with these measures, you will need to have a check with your doctor
- an allergic reaction to citalopram can be considered if the local steroids are not helping enough or the rash is worse (spreads even more) or new symptoms develop such as shortness of breath, swelling of eyes and lips. If these symptoms develop, it would indicate a severe allergy and warrant an urgent visit with the doctor.
I hope this answers your query.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Eczema is likely, detailed answer below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
By the explanation of the lesions (raised, itchy and scaly lesions) that happen on both sides (both thigs and over the stomach), that come and go but are almost always in the same place, eczema is the most likely diagnosis.
Unfortunately, I am not seeing any pictures, kindly upload them again
Mild forms of eczema are generally better with just a moisturizing cream or even just vaseline ointment applied to the lesions daily.
In more severe cases a local steroid cream is needed. In this case, if daily vaseline is not helping good enough, you may use betamethasone cream twice a day (thin layer) and during the midday, you may use vaseline ointment.
You should notice an improvement within the first 4-5 days of treatment. Treatment should be continued daily another few days after the lesions fully disappear.
Eczema has the tendency to recur so if you notice the rash come back, you may start with vaseline first and if needed with betamethasone cream.
To conclude:
- I am not able to view images of the rash, please upload/attach them again
- on the other hand, by your description very likely the rash is due to eczema.
- local applications of vaseline in mild cases, and steroids (betamethasone cream) in more severe cases, may be used.
- recurrence is likely, so try to keep your skin moisturized with vaseline once a day even if the lesions go away completely
- if there is no improvement with these measures, you will need to have a check with your doctor
- an allergic reaction to citalopram can be considered if the local steroids are not helping enough or the rash is worse (spreads even more) or new symptoms develop such as shortness of breath, swelling of eyes and lips. If these symptoms develop, it would indicate a severe allergy and warrant an urgent visit with the doctor.
I hope this answers your query.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Unfortunately, no images are available as yet
Detailed Answer:
Hello and welcome back,
It is my pleasure to assist you.
Unfortunately, I am not able to access any attachments as yet. Please contact the support team to assist you to make sure they upload the images for you.
You may also try the email address YYYY@YYYY but I am not sure this is an accurate address so please do both: write an email to the address I provided with the attached images and also contact the support team.
Hope to hear from you soon.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Unfortunately, no images are available as yet
Detailed Answer:
Hello and welcome back,
It is my pleasure to assist you.
Unfortunately, I am not able to access any attachments as yet. Please contact the support team to assist you to make sure they upload the images for you.
You may also try the email address YYYY@YYYY but I am not sure this is an accurate address so please do both: write an email to the address I provided with the attached images and also contact the support team.
Hope to hear from you soon.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Many thanks for your help - I've attached pictures again so hopefully they will load this time.
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