Dr. Shanza Ikram
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My daughter has small boils at the back of her neck for the past eight days, and it seems to be getting worst. Her major allergies are milk, peanut, and egg. Semi allergies are wheat, soy, and beef. When we first noticed, we started to apply Hydrocortisone, but it seems to be getting worst. We took her to the child doctor and he said switch to antibiotic cream, but today we notice fine boil around the bigger spot and the toddler complaining of burning feeling and crying.
Hello,
Welcome to icliniq.com.
I have gone through your case in detail (attachment removed to protect patient identity). In my opinion, your daughter got some insect bite reaction as in pictures all pinpoint boils are in curved fashion as most commonly seen when any bug or insect crawl bite on skin. It has some peculiar foot prints.
Hydrocortisone is considered a good cream in such type of reactions as it controls itching. But sometimes it exacerbates infection while it controls burning. I would recommend you to mix Hydrocortisone cream with Fucidin cream (Fusidic acid) in an equal amount and apply twice daily for seven days. Do not use any cream alone. Give antiallergy syrup like Cetirizine half teaspoon once at night. No specific test is usually required in such cases.
Patient's Query
Thank you doctor,
We also noticed the swelling behind her ears in which the right side is bigger and harder than the left side. Do we have to worry about it?
Hello,
Welcome back to icliniq.com.
In my opinion, she has got a severe type of reaction. Hardness and swelling are due to infection. Is it possible for you to get some oral medicines in addition to the above medication? If so kindly consult your doctor to discuss the suggestion and take the treatment with consent.
1. Syrup Amoxil (Amoxicillin) one teaspoon two times a day.
2. Syrup Brufen (Ibuprofen) two times a day for seven days.
3. Syrup Cetirizine one teaspoon at night only for seven days.
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Dermatology
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