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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Chronic Skin Rash That Is Spreading?

my husband has had a chronic skin rash for 8 months andnow ha pussy postules in the palm of his hands and his genitalia. very itchy all over body. has been to a dermatologist, but no help. he is a cll patient. can not figure what is causing the rash.60 years old.
Thu, 14 Mar 2019
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General & Family Physician 's  Response
Hello,

Looks like secondary cutaneous changes, manifesting like purpura, vasculitis, exfoliative erythroderma, etc. Avoid taking purine analogs & alkylating agents.

Get a follow up physical examination done by your treating doctor to rule out skin infiltration with beta lymphocyte(Malignant/non-malignant disorder) often seen in CLL patients.

Your husband's treatment will depend upon the type of skin manifestation detected & investigated.

It can be harmless(insect bite/allergic rash) but if detected malignant it will require immediate treatment without delay.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Nupur K, General & Family Physician
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How To Treat Chronic Skin Rash That Is Spreading?

Hello, Looks like secondary cutaneous changes, manifesting like purpura, vasculitis, exfoliative erythroderma, etc. Avoid taking purine analogs & alkylating agents. Get a follow up physical examination done by your treating doctor to rule out skin infiltration with beta lymphocyte(Malignant/non-malignant disorder) often seen in CLL patients. Your husband s treatment will depend upon the type of skin manifestation detected & investigated. It can be harmless(insect bite/allergic rash) but if detected malignant it will require immediate treatment without delay. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician