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Whenever my sister goes out, her skin turns red and itchy. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My sister is suffering from skin rashes. It comes and goes. Whenever she goes out in sunlight, the parts of the skin exposed to the sun are turning red and start itching. It disappears after a couple of hours. When we did blood test, IgE level is 220 IU/mL. What is the problem? Can this get treated? How long does it take to cure completely? Which specialist doctor we should contact?

Thanks in advance.

Answered by Dr. Atishay Bukharia

Hi,

Welcome to icliniq.com.

I understand your concern.

Your sister might be suffering from photoallergic dermatitis. Please send the photographs of the lesion for confirmation of diagnosis and treatment. Serum IgE is a little bit raised and again indicates an allergic response to sunlight.

I hope this information will help you.

Thanks.

Patient's Query

Hello doctor,

Thanks for the reply.

Thanks for the response. I have uploaded a couple of photos, and I marked the affected area. In the attached photo, the problem is not seen much. We did not have photos when the problem was more incentive. We are not able to find any answer for the problem or what causing the issue. Can you please tell me the reason? Is this problem curable?

Thanks.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is a case of solar urticaria. Strict sun protection with good sunscreen like Photostable gel has to be applied twice daily. I advise the following medicine. Consult your specialist doctor, discuss with him or her and take medicine with consent. Tablet Teczine M (Montelukast and Levocetirizine) twice daily for 20 days. Tablet Levamisole 150 mg only. It is an unpredictable disease of unknown etiology. You can take the treatment and then review in 15 days.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Thank you so much for your reply. Do you mean that this problem will not go for the lifetime or this can be curable? We have recently consulted a doctor, and we are with the following medications: Sunkon 30 sunscreen, Levokon, and OXCQ 20 mg. We have started taking the above tablets, and we are started noticing severe hair fall. So, our doctor gave us the following medications. Finabald 2.5 mg, Aferite and Hair4U 5% hair spray. Is it fine to take all the above tablets every day? Is hair fall a side effect of the above medication?

Thanks.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

I understand your concern.

This disease can be controlled, but regarding the cure, everything seems to be unpredictable. Such disease usually subsides on its own in due course of time. He has prescribed you the right medication for it, but regarding your hair fall treatment, Finasteride 2.5 mg is not FDA approved for androgenic alopecia. Only 1 mg is recommended for androgenic alopecia. Since Finasteride carries the side effects of erectile dysfunction, I would suggest you decrease the dose to 1 mg because once you have started the treatment of androgenic alopecia, then you need to continue it for life time. There is no problem in taking both medications together.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Is it good to continue the treatment for hair fall? We do not want medicine to be taken for the whole life.

Thanks.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is entirely your preference to take it or not to take it, since it is not an emergency. It is just of cosmetic concern so make your decision based on your priorities.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Do you think the hair fall is a side effect of the medicines? I am asking this question because we started seeing hair fall after we have begun taking the tablets for a skin problem. I have already mentioned this in my first comment. This issue is for my sister. Finasteride carries the side effects of erectile dysfunction. And, is there any side effect for women? Do you think any tests can be performed to find out solar urticaria? Can you please also suggest any diet or food, which will help us curing the skin and hair problem?

Thanks.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

I understand your concern.

No, hair fall has no relation with solar urticaria and its medications. Finasteride is relatively contraindicated in a woman. It is not FDA-approved for use in women. There is no test; the only biopsy is suggestive of the diagnosis. Just avoid sun exposure. Diet and food have no relation with this disorder.

I hope this information will help you.

Thanks.

Answered byDr. Atishay Bukharia

Medically reviewed byiCliniq medical review team

Published At October 10, 2017
Reviewed AtOctober 23, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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