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Suggest Treatment For Red Spots And Bumps On Limbs

Posted on Thu, 12 Mar 2015

Question: Hello Doctor, from last 2 weeks i have small redspots and skin bumps on the upper and lower limbs and also taken allegra but still not relief. it itching too.

Answered by Dr. Hardik Pitroda (51 minutes later)

Brief Answer:
History and pictures required

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin lesions .
I have reviewed your investigations and they seem to be pretty normal.
From your history it seems you might be having some allergic skin reaction or could be scabies but its too difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post good clinical pictures along with little history in brief so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

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

Follow up: Dr. Hardik Pitroda (7 hours later)

ATTN Dr XXXXXXX sending you some images pls review. its appears automatically then dissappears

Answered by Dr. Hardik Pitroda (4 hours later)

Brief Answer:
Trace the allergen, Oral antihistamines

Detailed Answer:
Hello again,
I am sorry to say i havnt recieved any clinical pictures.
From your description its looks like you are having episodes of urticaria or hives, a kind of allergic skin eruption.
I would advise you to consult a dermatologist for proper management.
The allergen can be food item or drug or some foci of infection in your body. Chronic conditions like diabetes, thyroid disorders, etc can also lead to urticaria.
Certain specific tests like patch test, prick test etc apart from routine investigations can be done to find the allergen.
The best treatment is avoidance of allergen as far as possible.

Usually for symptomatic patients, I advise a long term course (3-6 months) of various antihistaminics with or without corticosteroids.
Also, in certain non-responding cases various other medications like dapsone, montelukast, cyclosporine, omalizumab can be tried.
Wish you best of health,
Thank you
Dr Hardik Pitroda

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

Follow up: Dr. Hardik Pitroda (11 hours later)

ATTN Dr XXXXXXX Pitroda,

Pls find the attached images of the redspots on the upper and lower limbs.
it appears mostly at evening time, and dissapears after 10-15 mints and again its seen in night or morning time.

Answered by Dr. Hardik Pitroda (26 minutes later)

Brief Answer:
It is urticaria

Detailed Answer:
Hello,
I have reviewed the pictures and as I suspected these lesions are of urticaria.
I would suggest you to consult a dermatologist for proper work-up and management.
Please go through my previous answer which will help you in discussing your condition with the dermatologist.

Thanks

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. Chakravarthy Mazumdar