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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rashes On The Neck, Forearms And Hands?

I have had a rash on my neck, forearms and hands for a couple of months now that is steadily getting much worse. I seem to get very tired around 1 or 2 in the afternoon. I do have an appointment with a derm... but not for another month. The rash is red clustered, and burns more than itches... any thoughts?
Fri, 30 May 2014
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Dermatologist,  's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of Polymorphic Light eruption (PMLE), which can manifest as itchy papules and plaques on the sun exposed sites like extensor arms, neck and face.

I would suggest you to apply a broad spectrum sunscreen , that which offers both UV B as well as UV A protection throughout the day. A sunscreen with minimum spf 30 would be required. It should be re-applied every 2-3 hours.

For the blotchy rash, you could apply a moderately potent topical steroid e.g fluticasone propionate cream OR Mometasone furoate cream, twice daily over the affected area.

An OTC antihistamine e.g cetrizine 10mg once daily would help you symptomatically.

regards
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What Causes Rashes On The Neck, Forearms And Hands?

Hello and welcome to healthcaremagic I would keep a possibility of Polymorphic Light eruption (PMLE), which can manifest as itchy papules and plaques on the sun exposed sites like extensor arms, neck and face. I would suggest you to apply a broad spectrum sunscreen , that which offers both UV B as well as UV A protection throughout the day. A sunscreen with minimum spf 30 would be required. It should be re-applied every 2-3 hours. For the blotchy rash, you could apply a moderately potent topical steroid e.g fluticasone propionate cream OR Mometasone furoate cream, twice daily over the affected area. An OTC antihistamine e.g cetrizine 10mg once daily would help you symptomatically. regards