My daughter has skin irritation with bleeding in hands. Please suggest solution.

Hi,

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Kindly attach the pictures of the skin problem and of the old prescription. The picture that you have sent is that of a blood-soaked cloth (attachment removed to protect the patient's identity). How much is her thyroid level? Is she taking the tablet Levothyroxine sodium (Eltroxin)? Does she have wheezing or dust allergy? Send me the pictures of the hand and joint for a detailed evaluation.

Thank you.

Hi,

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Glad to have you back.

The skin lesion is looking 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 totally 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.

Hi,

Welcome back to icliniq.com.

She is having severe urticaria rash which is common in atopics. 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.

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 for finding out the triggers.

I wish you good health.

Thank you.