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How to treat skin irritation with bleeding in hands?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My daughter has skin irritation near her hands in the joint area. After itching, she gets blood in that area. At nighttime, she has itching on her whole body, and has dry skin. The skin problem has been there for the last 25 days. My daughter is 6 years old, and she is a thyroid patient. I was given Monticope and Cepodem syrup. Currently, she is on Erythromycin and Lecope.

Please suggest a solution.

Thank you.
Answered by Dr. Priya. B. T

Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

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Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Kindly attach the pictures of the skin problem and the old prescription. The picture that you have sent is of a blood-soaked cloth (attachment removed to protect the patient's identity).

  1. How much is her thyroid level?
  2. Is she taking the tablet Levothyroxine sodium (Eltroxin)?
  3. Does she have a wheezing or dust allergy?

Send me the pictures of the hand and joint for a detailed evaluation.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

She is taking 100 mg of the tablet Eltroxin. She does not have any wheezing or dust allergy.

Thank you.

Answered by Dr. Priya. B. T

Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome back to icliniq.com.

Glad to have you back.

The skin lesion looks very infected and is oozing (attachment removed to protect the patient's identity). She is atopic with raised IgE (immunoglobulin E) levels. Atopic conditions involve very itchy and dry skin. Because of scratching, it is damaged. I suggest you start her on the following:

  1. Tablet or syrup Prednisolone (Omnacortil) 5 mg or 5 ml twice daily for seven days.
  2. Tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg half tablet twice daily for one week.
  3. Syrup Monticope (Montelukast and Levocetirizine) 7.5 ml twice a day for two weeks.
  4. Use HH Fudic (Mometasone furoate and Fusidic acid) cream at night and use aloe vera gel (Calosoft-AF) lotion in the morning.
  5. Take NS (normal saline) 100 ml bottle. Soak thin gauze pieces in saline and put over the red skin for 10 minutes before applying cream or lotion. Apply twice a day. Send pictures after two weeks.

I hope this helps. Do get back if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the prompt reply.

Answered by Dr. Priya. B. T

Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

She is having severe urticaria rash which is common in atopic. It could have been aggravated due to the summer heat. I suggest you apply aloe vera gel (Calosoft-AF) lotion in the morning and at night and take the tablet or syrup Prednisolone (Omnacortil) 5mg or 5ml twice a day for five days. Continue giving the syrup Monticope (Montelukast and Levocetirizine) 5 ml twice a day for three weeks.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

For how many days should I continue giving this medicine? After stopping the medicine, she got the itching again. The last time when I gave her this medicine, she did not have any itching but after stopping the medicine she got the itching back after a few days.

  1. Can you suggest any permanent solution for this?
  2. Also, if I give the medicine continuously will there be any side effects?

Now, she is not on any medication. I had applied only the cream when she had stomach itching which got better afterward. But now she is having itching on the back, on the shoulders, and sometimes in her hand.

Please help.

Thank you.

Answered by Dr. Priya. B. T

Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome back to icliniq.com.

There is no permanent cure for atopy. With age, there can be an improvement. You need to boost her immune system. There is no problem with continuing the syrup Monticope (Montelukast and Levocetirizine) and using other skin creams. The syrup Prednisolone (Omnacortil) should be used sparingly. Kindly get back before doing the allergy test to find out the triggers.

I wish you good health.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At April 29, 2020
Reviewed At February 4, 2025

Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Priya. B. T
Dr. Priya. B. T

Dermatology

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Education:

MBBS

Professional Bio:

Dr. Priya. B.T. is a well-experienced Dermatologist specializing in the diagnosis, treatment, and prevention of a wide range of skin, hair, and nail disorders. Her expertise covers both medical and cosmetic dermatology, including the management of chronic skin conditions, allergy-related issues, and advanced aesthetic procedures. She is skilled in using modern diagnostic tools and evidence-based therapies to deliver effective results while prioritizing patient comfort and safety. With a patient-centered approach, she focuses on providing personalized care that enhances skin health and overall confidence.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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