Suggest Treatment For Mild Itchy Rash On Back

Posted on Wed, 20 May 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 20 May 2015 Answered on

Tue, 9 Jun 2015 Last reviewed on

Question : - 13 year old daughter, has rash on the back since 5-6 months now
- not very itchy, but little.
- she does tennis - 2-3 hours a day, everyday, so constantly sweat contact.
hope all 3 images can be viewed by the dr.

Answered by Dr. Dr. Kakkar (17 minutes later)

Brief Answer:
Lichen planus; topical steroid cream+oral antihistamine

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Images.

This seems like Lichen planus.
Lichen planus is characterized by itchy, shiny, red/ violaceous papules which may be distributed over torso, arms and legs.

I suggest a topical potent steroid e.g clobetasol propionate 0.05% cream Or mometasone furoate 0.1% cream twice daily.
These are prescription steroids and therefore I suggest that she sees a dermatologist in vicinity for a confirmatory clinical examination and for the needful.
An Oral antihistamine e.g levocetrizine 5 mg tablet once daily in evening will provide her symptomatic relief from itching.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (12 minutes later)

thanks dr. what is the reason for this and what does it mean in layman terms?
also how do you prevent this from happening in future?

Answered by Dr. Dr. Kakkar (11 minutes later)

Brief Answer:
Lichne planus is immune mediated

Detailed Answer:
Hi.

In simple terms it is form of eczema but it is self limiting and very much curable with treatment.
It is immune mediated.
There is no particular prevention for it. It will subside with treatment.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar