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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pin Head Rash On The Body?

Hi, I developed a pin head rash on my stomach last tues it gradually covered my whole abdominal area then spread onto my shoulders then down my arms a few on my back and buttocks , it is now starting to go down my legs more on the shins than the top, none on my face neck feet or hands. the doctor has put me on a 120mg antihistamine and 10mg antihistamine. I had a blood test with high white blood cell abnormality readings and esr abnormlity . do you agree this is an allergy?
Mon, 5 Dec 2016
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General & Family Physician 's  Response
Hello,
If you have pin head rashes I think you might be stating small round lesions on the skin. Such lesions are not characteristic for allergy; however, some people can develop such lesions.

But in your case there is elevated WBC and ESR changes and I think you might be having fever as well due to high WBC. I think the lesions can be a sign of infection rather than allergy given the lab data. I would suggest you taking a course of antibiotic like amoxicillin or augmentin along with antihistamines.

You must also remember that to differentiate between a viral and bacterial rash clinical and lab data is crucial. Therefore it might be helpful if you reevaluate with your doc and perform a culture to conclude the diagnosis. This is essential as antibiotic therapy against viruses are ineffective and not recommended.
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What Causes Pin Head Rash On The Body?

Hello, If you have pin head rashes I think you might be stating small round lesions on the skin. Such lesions are not characteristic for allergy; however, some people can develop such lesions. But in your case there is elevated WBC and ESR changes and I think you might be having fever as well due to high WBC. I think the lesions can be a sign of infection rather than allergy given the lab data. I would suggest you taking a course of antibiotic like amoxicillin or augmentin along with antihistamines. You must also remember that to differentiate between a viral and bacterial rash clinical and lab data is crucial. Therefore it might be helpful if you reevaluate with your doc and perform a culture to conclude the diagnosis. This is essential as antibiotic therapy against viruses are ineffective and not recommended.