Erythematous Rashes Case Study

HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately 2 weeks ago she developed a respiratory infection, for which she received antibiotics, and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to

A 40-year-old woman comes to the clinic with a history of worsening nasal congestion and recurrent sinus infections. She had been healthy until about 1 year ago when she first noticed persistent rhinorrhea, sneezing, and stuffiness. She noted that when she went on a 2-week vacation to Mexico, her rhinorrhea disappeared, only to return when she came home again. She has lived in the same house for the past 5 years along with her husband and one child. They have had a dog for 4 years and a cat for 1 year. On physical examination, she has boggy, swollen nasal turbinates and a cobblestone appearance of her posterior pharynx.

Rashes:- Rashes can be a side effect of taking medication if you have an allergy to the drug. This is because the body builds up antibodies that instantly release chemicals into the body which cause red itchy rashes.

Have you ever had or witnessed someone with Eczema? Well it is not fun having or experiencing this skin disease. Eczema is a chronic skin disorder that cannot be cured and causes the skin to become itchy, red, and dry, but it can be treated by dieting, home remedies, medications, and therapies. People coping with this disease try many forms of these treatments and even try to come up with some of their own treatments. Dealing with eczema can be a lifelong process for people who have it.

Tracey is a 41-year-old female here today to discuss a possible yeast infection as well as a "bump" that she found in the vaginal area.

Atopic eczema is a skin condition that can be in remission and can flare up because of different factors. The skin condition is known for its distinct characteristics, such as red, itchy skin. Although it is mostly common in children, it can occur at any age. Over the years, there has been growing interest in different strategies to prevent and manage atopic eczema. Each person is different in the way their condition flares, and most of the time has been treated with topical calcineurin inhibitors and topical corticosteroids.

HISTORY OF PRESENT ILLNESS: This patient is a 57 yr. old, Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years, approximately 2 weeks ago she developed a respiratory infection for which she received antibiotics and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to discontinue the

Dermatitis is a general term that describes an inflammation of the skin. There are different types of dermatitis, including seborrheic dermatitis and atopic dermatitis (eczema). Although the disorder can have many causes and occur in many forms, it usually involves swollen, reddened and itchy skin. (www.umm.edu/altmed/articles/dermatitis-000048.htm)

Rosacea is a chronic cutaneous disorder affecting primarily the convexities of the central face (cheek, nose, chin, and central forehead), often characterized by remissions and exacerbations (Wilkin et al., 2004). This disease is more prevalent in females, however, male patients tend to present with more severe cases (Utas et al., 1999).

Melanie is a 29yo, G5 P2022, who was seen for an ultrasound evaluation and consultation over the development of a rash. Her history is significant for a gastric sleeve that occurred in February 2013. Based on her height and weight at the start of the pregnancy, her BMI was 49. She did have a LEEP procedure on her cervix in 2014 after her last delivery. She does have 2 term deliveries in 2008 and 2014 without complications. Lastly, she developed a rash about 4 weeks ago that began on her abdomen that was reddish and raised and pruritic that has now extended to her arms and legs. She reportedly did receive a corticosteroid injection one week ago and she states that this did improve her symptoms and the rash but again it is still present. This

A young male patient used the fixed dose combinations with of different fluoroquinolones and nitroimidazoles several times in the last few years for self-treating repeated episodes of diarrhoea and loose motion, and each time experienced fixed drug eruptions that increased in number and severity on subsequent occasions. Suspecting association between the drug and the rashes, the patient each time discontinued the treatment prematurely, and preferred to switch to a similar formulation but with different molecules of fluoroquinolone (ciprofloxacin or ofloxacin) and nitroimidazole (tinidazole or ornidazole) next time. The patient presented with multiple, round-to-oval, well-defined, hyperpigmented cutaneous patches of different dimensions, present all over the body. He appeared to have run out of options and therefore consulted us seeking advice how he should treat himself next time he suffered from diarrhoea. Causality assessment by Naranjo’s algorithm revealed a definite relationship between the cutaneous adverse reaction and the offending drug. He was counselled regarding medication in general and advised, in particular, to avoid the tendency to self-treat any future episode of diarrhoea.

Fixed drug eruption (FDE) is a unique type of cutaneous adverse drug reaction. They were first described by Bourns1 in 1889 and later by Brocq2 as “eruption erythemato-pigmentee fixe”. It is characterised by the appearance of a single or multiple sharply demarcated violaceous erythematous plaques that may blister and is often associated with pruritus. The lesions generally leave behind some amount of residual hyperpigmentation. These lesions typically appear within 30 minutes to 24 hours of administration of the incriminated drug.1 The usual sites of involvement are hands, feet, genitalia and perianal region whereas it is seen less commonly around the mouth and trunk. There is a characteristic recurrence at the same sites on repeat administration

What happens when you generally get rashes in the armpits or the inner thighs? Isn’t it a painful experience wanting to itch it so bad, but eventually you realize that itching was a bad idea because it hurts all the more? Well, you must have faced this problem once in your lifetime and know how it feels. Rashes in the privates can be even more traumatizing and painful (if not taken care of). It is always better to avoid it rather than treating it later.

Pseudoporphyria is known to be associated with naproxen therapy and characterised by marked erythema,vesciculation,and increased skin fragility especially children with fair and blue eyes. The index case had fever and maculopaular rash associated with pruritus after 48 hours of initiation of naproxen suggestive of delayed hypersensitive reaction, one would come across rarely. 9 www. Diagnosis of hypersensitive reaction to NSAIDs depends upon history, and timing. Currently available laboratory methods to diagnose hypersensitivity reactions to NSAIDs includes, skin testing, lymphocyte transformation test, and oral provocation

Rash is a very general term for nonnative, more or less generalized (not in first place common) defects of the skin which exhibits this redness and / or spots or elevations, usually as a manifestation of an internal disease or disorder. For the description of a skin rash Morphology skin