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What Causes Chest Pain And Back Pain With Painful Rash?

Posted on Mon, 9 Jun 2014

Question: I have one sided high chest and back pain on my right side. There is also a painful rash coving the area. It has gotten worse over the 3 days its occurred. Coughing and physical activity increase the inner pain. I have researched and cant find any definite diagnosis. What do I most likely have and what would the best treatment be?

Answered by Dr. Kalpana Pathak (1 hour later)

Brief Answer:
it could be herpes zoster

Detailed Answer:
Hi,
Thanks for writing to us.
From the description, you could be having herpes zoster.
It is treated with oral acyclovir or valaciclovir along with oral and topical antibiotics. To control pain a pain killer like NSAIDs, pregablin,gabapentin,amytryptalline etc has to be added.
As all these are prescription drugs,please consult your physician or dermatologist.
Hope this helped.
Take care

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

Follow up: Dr. Kalpana Pathak (9 minutes later)

Its not herpes zoster...what would the best explanation be besides herpes zoster?

Answered by Dr. Kalpana Pathak (20 hours later)

Brief Answer:
details below

Detailed Answer:
Hi,
Thanks for writing back.
The other differentials could be insect bite/blister beetle dermatitis, contact irritant dermatitis or furuncles. The clinical description sounds quite like herpes zoster.

I would be able to suggest most probable diagonosis, if you could attach an image of your skin lesion. You may upload it by clicking on upload report/image icon which is on right side of query page.
Take care

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