Dr. Jebin Abraham
Pulmonology (Asthma Doctors)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
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.
Hi,
Welcome to icliniq.com.
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.
Patient's Query
Hi doctor,
Thank you.
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.
Hi,
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.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Pulmonology (Asthma Doctors)
Related Questions
I have itchy blisters over the sides of fingers and palms. Suggest me a cure.
I have itchy bumps on my hand. Please help.
I have itching, rashes and burning sensation in my groin area. Please help.
I have high acidity and food allergy with severe cough and cold. How to manage these problems?
Does Itching Disturb Your Regular Activities?
How to solve my food allergy?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
