Can one take the COVID-19 vaccine in case of pompholyx eczema?

Question

Hi doctor,

My daughter is 20 years old. She has had chronic urticaria for more than five years. She has been suffering from eczema in the palm and sole for four years. She has intense and prolonged itching. These are reduced in winter. The eruption of vesicles is reduced slightly on medication. The complete blood count is normal except for lymphocytes, 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 mg, Fluoxetine 40 mg, and Propranolol 10 mg for obsessive-compulsive disorder. What should I do now for relief from itching? Can she take the COVID-19 vaccine?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Eczema is a recurring illness for which the exact etiology is not known. However, I wish to know the following things:

What is her latest TSH (thyroid-stimulating hormone) level?
Does she have any food allergies?
Does she have any drug allergies?

Please answer the questions so that I can guide you appropriately.

Answer 2

Hi,

Welcome back to icliniq.com.

In many cases, the exact cause of urticaria may not be evident. Pompholyx eczema is self-limiting sometimes and needs a stress-free lifestyle. The more she is tensed, it will appear. 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 steroids and emollients. It is better to avoid the COVID-19 vaccine since she has a food allergy.

I hope this was helpful.