My daughter is 20 years old. She has chronic urticaria for more than five years. She is suffering from eczema (pompholyx) in the palm and sole for four years. She has Intense and prolonged itching in the vesicles of pompholyx in the palm and sole with occasional pain disturbing sleep and study. These are reduced in winter. Eruption of vesicles are reduced slightly on medication. The complete blood count is normal except lymphocyte 49%, IgE- 512 IU/mL, thyroid function is normal as of last month's test report. She takes a Montek-LC tablet for ten days, Clobetasol Propionate with Neomycin ointment, and Beclomethasone with Gentamicin lotion for two months. In addition, she takes Clomipramine 10, Fluoxetine 40, and Propranolol 10 for obsessive-compulsive disorder. What should I do now for relief from itching? Can she take the COVID vaccine? Please guide me.
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Pompholyx is a recurring illness for which exact etiology is not known. However, I wish to know the following things:
1) What is her latest TSH (thyroid-stimulating hormone) level?
2) Does she have any food allergies?
3) Does she have any drug allergies?
Please answer the questions so that I can guide you appropriately.
TSH in last month's report was 2.4 mIU/L. She has an allergy to brinjal and spinach at present. No drug allergy is evident to date. Please guide me.
Welcome back to icliniq.com.
In many cases, the exact cause of urticaria may not be evident. Pompholyx is self-limiting sometimes and needs a stress-free lifestyle. The more she is tensed, it will start appearing. She can do an allergy skin prick test and document her allergy cause, and avoid its contact. I suggest she take Desloratadine 5 mg once daily and taper after one month as an alternate day. Continue topical steroid and emollients. It is better to avoid the COVID vaccine since she has a food allergy. I hope this was helpful.
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