I am itching on my palms and fingers. There is redness and small hives. It has been one week now. I have also developed a rash near elbow and wrist. The itching is more when I wake up in the morning. I have attached the images along. The rash is on both of my hands. I am studying agriculture and I need to perform field work very often. I am currently residing in a very small town and the medical facilities are not at all good. On top of that, I have my exams. For the past four days, I have been applying an ointment, which is antifungal and antibacterial. I have also been taking Cetirizine, but it does not seem to help. If you could suggest me any medicine, I would be really thankful to you.
The quality of your pictures was unfortunately not very good, but decent enough to allow me to make a provisional diagnosis (attachment removed to protect patient identity). It seems that you are suffering from a form of contact allergic eczema. It is an eczema in response to an allergy to some agricultural substance or vegetation product or chemical such as a pesticide or fertilizer or some other occupational exposure substance. It is also possible that you may have an intrinsic tendency of allergies in general and react to these purported substances, in an out-of-proportion way due to that tendency. I suggest applying a potent corticosteroid cream, preferably with an antifungal combination, such as Tenovate-M (Clobetasol propionate) cream or a plain potent steroid cream or ointment such as Halox or Halovate (Halobetasol propionate) ointment to be applied twice a day over the affected areas for a duration of 15 days. Additionally, I suggest tablet Allegra (Fexofenadine) 180 mg one tablet to be taken daily in the evening around 6 to 7 PM for 10 days. Try to visit a general practitioner or a family physician and take the above treatment with consent. Use only mild soap, such as baby soap or creamy soap for washing hands. Strictly avoid exposure to any detergents, medicated soaps, harsh soaps and hand sanitizer, as they may worsen the condition. This should provide you with instant relief from your current problem. However, after your examinations are over and the condition subsides, you shall need to consult a dermatologist in person. So, further tests such as a patch test may be conducted to elucidate a suspected cause of this contact allergy.
Investigations to be done:
Patch test after subsidence of the acute allergic phase.
Avoidance of exposure to medicated or harsh soaps, detergents and chemical sanitizer.
.. apply Clobetasol over the glans. Please send the good quality photographs taken in a natural light.
Also, do tell me about the complaint in them? How long it has been there?
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