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Suggest Remedy For Itchy Pimples On Toe
Question: My self XXXXXXX kr age 33 yrs,male.
I am facing problem with itching toe & small rashes & small point like pimples in toe & back side of feet.
Very itching in night with red rashes.
Photo is attached.
Small rashes in knee also.
It always happen in winter season.
I have consulted doctor.
Doctor prescribed
1) Infin IR(5/10)
2) Allegra 180 mg
3)Histacalamine lotion.
May please advise as it happens always in winter season.
I have stopped taking non veg items like egg,Fish.
Allergic to sulfur ,Tinidazole.
I am facing problem with itching toe & small rashes & small point like pimples in toe & back side of feet.
Very itching in night with red rashes.
Photo is attached.
Small rashes in knee also.
It always happen in winter season.
I have consulted doctor.
Doctor prescribed
1) Infin IR(5/10)
2) Allegra 180 mg
3)Histacalamine lotion.
May please advise as it happens always in winter season.
I have stopped taking non veg items like egg,Fish.
Allergic to sulfur ,Tinidazole.
Brief Answer:
Lichen planus; Potent topical steroid
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image. I can see grouped, discrete and confluent, red papules on the dorsum of foot.
I would suggest a possibility of 'Lichen Planus' here. Lichen planus usually presents as red/ violaceous, discrete, shiny, flat topped papules which may coalese to form plaques. The lesions may be distributed widely at various body sites like shins, ankles, foot, arms, abdomen etc. The condition is extremely itchy.
Potent topical steroids like clobetasol propionate 0.05% Or halobetasol dipropionate 0.05% cream is the treatment of choice for lichen planus. An oral antihistamine e.g cetrizine 10 mg Or levocetrizine 5 mg, once daily is also usually required for symptomatic relief from itching.
I don't think histacalamine would be effective in your case and I suggest substituting it with one of the potent topical steroids i.e clobetasole propionate 0.05% Or halobetasol dipropionate 0.05% cream mentioned above. Though I would go with the tablets that have been prescribed to you.
Regards
Lichen planus; Potent topical steroid
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image. I can see grouped, discrete and confluent, red papules on the dorsum of foot.
I would suggest a possibility of 'Lichen Planus' here. Lichen planus usually presents as red/ violaceous, discrete, shiny, flat topped papules which may coalese to form plaques. The lesions may be distributed widely at various body sites like shins, ankles, foot, arms, abdomen etc. The condition is extremely itchy.
Potent topical steroids like clobetasol propionate 0.05% Or halobetasol dipropionate 0.05% cream is the treatment of choice for lichen planus. An oral antihistamine e.g cetrizine 10 mg Or levocetrizine 5 mg, once daily is also usually required for symptomatic relief from itching.
I don't think histacalamine would be effective in your case and I suggest substituting it with one of the potent topical steroids i.e clobetasole propionate 0.05% Or halobetasol dipropionate 0.05% cream mentioned above. Though I would go with the tablets that have been prescribed to you.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
Thanks for concern.
May I know the reason (probable cause)of Lichen Planus.Actually the problem always mainly in winter happens to me.
May I take non veg food ? Will it effect.
The problem is same as urticaria?
On reviewing my doctor also added Prednisolone 5mg 1×2 .
My wife is also suffering with red rashes in ankle with swelling. She also feel itching in night.
Are these diseases are communicable?
Please suggest reasons so that I can fix the problem.
Attachment of today feet is also enclosed.
I feel medicines are working.
Thanks for concern.
May I know the reason (probable cause)of Lichen Planus.Actually the problem always mainly in winter happens to me.
May I take non veg food ? Will it effect.
The problem is same as urticaria?
On reviewing my doctor also added Prednisolone 5mg 1×2 .
My wife is also suffering with red rashes in ankle with swelling. She also feel itching in night.
Are these diseases are communicable?
Please suggest reasons so that I can fix the problem.
Attachment of today feet is also enclosed.
I feel medicines are working.
Brief Answer:
Prednisolone is very effective in controlling lichen planus
Detailed Answer:
Hi.
Lichen planus is an immune mediated disease.
Yes, you may take any kind of food. This is not a food allergy.
Lichen planus is different from urticaria. Urticaria is transient whereas lichen planus has persistent papules
Prednisolone would be more effective in lichen planus.
Lichen planus is not communicable. You wife condition could be something else and need to be reviewed separately.
Yes, i do notice improvement in the recent image and it is mainly due to the oral steroid i.e prednisolone, that you have been taking
Regards
Prednisolone is very effective in controlling lichen planus
Detailed Answer:
Hi.
Lichen planus is an immune mediated disease.
Yes, you may take any kind of food. This is not a food allergy.
Lichen planus is different from urticaria. Urticaria is transient whereas lichen planus has persistent papules
Prednisolone would be more effective in lichen planus.
Lichen planus is not communicable. You wife condition could be something else and need to be reviewed separately.
Yes, i do notice improvement in the recent image and it is mainly due to the oral steroid i.e prednisolone, that you have been taking
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. Sonia Raina
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