Good answers my dear doctors and good and common question from Dr.Sahil Tandon. Here I focused on the dye reaction. According to patient complaints that is oedema of face and scalp. This implies the duration after dyeing. The first complaint from patient is swelling of eyelids and redness of ears and followed by tight feeling of scalp, Then develop inflammation Vesication and oedema. It depends on quantity and quality of dye Here the reaction is called ALLERGIC CONTACT DERMATITIS. And the agent will cause the problem is PPD..Para Phenylalanine Diamine. Treatment:- 1) Remove the excess of dye or accumulated dye by using soap less shampoo with mild salicylic acid and compresses with very diluted KMNO4 solution. 2) After thorough drying apply watermiscible Steriod cream. 3) mild antibiotics Tab ofloxacin 200 mg for 3 days. 4) Tab levocetrizine for 2 weeks night time. 5) depend on severity oral steroid... methyl prednisone in very mild dose will give good result.
Contact dermatitis to hair dye Short course of oral steroid along with antihistamine Avoid use of hair dyes in future.
Allergic reaction to hair dye . Treatment like anaphylaxis .
SUGGESTIVE. OF... .. ALLERGIC CONTACT DERMATITIS SECONDARY. TO ANAPHYLACTIC..REACTION DUE. TO ADVERSE. REACTION. BETWEEN... HAIR. DYE. CHEMICAL. AND HAIR. SHAMPOO..
Anaphylactic reaction....contact Dermatitis....in emergency Inj Avil alongwith Inj Ranitidine Stat...if not helped then inj Hydrocort 200 iv stat...Then any Antihisminic tab for few days and make sure the patient will not use the Triggering factors like the Dye which can aggrevate d situation...
ACD due to hair dye Levocet 5mgbd Tapering dose of steroid orally. lobate-S fucibact oint locally. Rehydrate skin by applying moisturizer or emollient lotion locally. Avoid hair dye use.
ALLERGIC REACTION FOLLOWING USE OF HAIR DYE
She is allergic to hair dye.Antiallergics to be given.Avoid hair dye in future.
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9 yrs old girl is having rashes on both hand and finger since 4 months ...They consulted...And took medicine. It was cure till giving medicine...After that ...h/o recurrent patches on both hand and finger.....plz suggest treatment and diagnosis....|Dr. Aaref Khan8 Likes29 Answers
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pt was admited on third day to the hospital with c/o of inability to eat or drink anything and vesicular lesion all over the face from day one and gradually developing since then, lesion ws present in eyes(continously watery) intraoral picuture shows white scrapable lesion giving an erythmatous base on scraping giv probable diagnoais or D/d and possible rx pt was on antidepressants taking valproic acid since 5 years pt is working as a metal welder in his own shop hiv hbsAg tests are negative cbc is normal absolute eosinophil count is highly raisedDr. Banty Basak12 Likes37 Answers
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patient presented with this lesion over the hand since morning. patient was doing normal kitchen work. when she removed the gloves she noticed small blisters over the hand. as day passes area become sloughy. very mild pain is present. no itching. what is the diagnosis and treatment for this case.Dr. Kamal Singh7 Likes57 Answers
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Male Patient age 21 yr presented with erythematous rash all over the body with intense itching and generalised body pain. No H/o fever . Vitals stable (scabies already ruled out) Management and D/D .Md Faisal5 Likes15 Answers
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Friends today I am discusing about Eczema . Homeopathic Medicines for Eczema There is a great scope of treating eczema with homeopathy, which takes a mild, gentle approach to treat eczema. Homeopathy treats eczema in two phases: in the first phase, the medicines control itching. In the next phase, they heal the lesions and control further progression of eczema. They also work wonders in case of eczema attended with complaints of hay fever and asthma. Prominent names in this category are Graphites, Sulphur, Petroleum, Mezereum, and Natrum Mur. These medicines for eczema are natural and therefore, safe from any adverse side-effects. They can be taken by persons of all age groups. Homeopathic Medicines for Eczema 1. Graphites – Top grade Medicine for Eczema Graphites is one of the top grade medicines for eczema. Graphites works well in case of both dry eczema and moist eczema. The key symptoms to look out for in dry eczema before prescribing Graphites are – excessively rough, dry skin attended with intense irritation. In moist eczema, the skin eruptions will ooze moist, sticky fluid where Graphites will show results. Graphites also works well for eczema between fingers and toes oozing glutinous discharge. It is also a good choice of medicine for eczema of eyelids with red margins and scaliness. 2. Natrum Mur – For Eczema in Bend of Limbs For eczema in the bends of limbs, Natrum Mur falls in the category of highly rated medicines. The bends of limbs include those behind the knee and folds of skin between the elbows. The eczema eruptions in the bends of limbs are dry, chapped, raw, inflamed and crusty in nature. In addition to this, Natrum Mur is a well-indicated medicine for eczema eruptions arising around the margin of the hairline. 3. Sulphur and Psorinum – For Dry Eczema with Excessive Itching Sulphur is a prominent medicine for eczema with excessive itching and eczema rash. This is attended with intense scratching. Burning sensation follows scratching of the rash. The itching worsens in the evening and night time. Warmth also worsens the itching. In some cases, washing may increase the itching in eczema rash. The skin looks very dirty and unhealthy. Another guiding feature for use of Sulphur is eczema that worsens in the spring season. Sulphur is also the most appropriate choice of medicine for eczema cases that have been treated with ointments in the past. Psorinum is helpful for dry, itchy eczema where a person scratches until it bleeds. Another indication for using Psorinum is worsening of eczema in winter and relief during summer. Psorinum is also a well-indicated medicine for eczema behind the ears. 4. Petroleum – For Eczema that Worsens in Winter In cases where eczema gets worse during the winter, medicine Petroleum is prescribed. The person who needs Petroleum has skin that is very rough, hard and thick. Deep cracks appear on the affected skin. The cracks may bleed in some cases. Burning and itching are present on the skin which is highly sensitive to the touch. Petroleum also works very well in cases of eczema with deep cracks on the fingertips. 5. Mezereum – For Eczema with Thick, Crusty Eruptions Mezereum is the most suited for eczema with thick, crusty eruptions. There is a discharge of glutinous character from these eruptions. In some cases, pus discharge may be observed along with blood. The discharge is acrid in nature with intolerable itching. On scratching, the itching changes place very often. Mezereum works wonders in treating eczema of the scalp as well. The key features here are thick, leather-like crusty eruptions on the scalp with sticky or pus-like discharge. It is attended with marked burning and intense itching. The discharge is highly offensive in nature. The hair gets matted together due to the sticky discharge. 6. Vinca Minor – For Eczema of Scalp In addition to Mezereum, another wonderful medicine for eczema where it appears on the scalp is Vinca Minor. The person needing Vinca Minor has eruptions in spots on the scalp. The eruptions ooze discharge that may result in matting of the hair. Excessive itching with an irresistible desire to scratch predominate. 7. Arsenic Album – For Eczema with Asthma Arsenic Album is a top grade medicine for eczema where it is accompanied by asthma. The symptoms include dry, rough itchy skin. Burning sensation in eruptions may be marked. Cold may worsen the itching and burning. Along with eczema, asthmatic symptoms with marked dyspnoea, suffocative attacks, cough, constriction in air passages are present. Arsenic Album is also an excellent medicine for cases of eczema with hay fever. Both these conditions may coexist or may alternate with one another. Frequently Asked Questions 1. What is Eczema? Eczema, also known as dermatitis, is a common skin complaint. It is characterized by inflamed skin with dry rash, erythema, papules, vesicles or pustules. Erythema is red skin discoloration; papules refer to eruptions of less than 1cm without any fluid; vesicles refer to fluid filled eruptions; pustules refer to pus-filled eruptions. In the long run, it results in thickening of the skin. Itching and scratching – varying from mild to severe intensity – may be present. With scratching, the skin may even bleed. Eczema may cover a small area of the body or may be widespread, covering the entire body. 2. What causes eczema? The exact cause of eczema is not yet known. A combination of genetic and environmental factors play a role. Persons with a family history of eczema or any other allergy such as hay fever, urticaria, asthma stand a high risk of developing eczema. 3. How can I tell I have eczema? Eczema can be broadly divided into two types – dry and moist. Dry eczema appears as itchy rash while moist eczema will show up as skin eruptions oozing discharge which varies in consistency from watery to sticky or pus-like. If you see any of these signs, there are chances that you may have eczema. There are no specific lab investigations for eczema. Eczema is diagnosed based on the clinical presentation of skin eruptions. A family history of eczema adds to the likelihood that the symptoms are those of eczema. 4. At what age is eczema likely to appear? In a majority of the cases, eczema starts early, before 5 years of age. However, eczema can show up in the teenage years and in adults as well. 5. Which part of the skin is more vulnerable to eczema? Eczema can develop in any part of the skin, but the location may vary with the age group. In children, common areas are the face, scalp, and chest. Adults are more likely to get eczema in the bends of elbow and hollow of the knees. 6. Why does my child have eczema? The answer could lie in his genes. If a child has eczema, there are chances he has atopic dermatitis. Atopy is a term applied to a genetic predisposition towards developing allergic diseases like hay fever, dermatitis, and asthma. 7. What are the various types of eczema? The various types of eczema include atopic dermatitis, seborrhoeic dermatitis, contact dermatitis, dyshidrotic eczema, venous/stasis eczema. Atopic dermatitis runs in families and starts in childhood. It is characterized by skin inflammation with a dry, itchy rash. Atopy is a genetic tendency to develop allergic diseases. Asthma and hay fever often arise in addition to eczema in atopic dermatitis Seborrhoeic dermatitis mainly affects the scalp, face, and eyelids. It will show up as scaly, greasy or crusty lesions. In infants, thick, crusty eruptions appearing on the scalp is referred to as cradle cap Contact dermatitis is mainly of two types – allergic contact dermatitis and irritant contact dermatitis. In allergic contact dermatitis, the allergic reaction appears on the skin when exposed to a foreign substance like nikel, gold and cosmetics. Irritant contact dermatitis arises when the skin comes in contact with a toxic or irritating substance such as detergent, bleach or battery acid. Dyshidrotic eczema is mainly visible on the soles and palms. It is characterized by the presence of vesicles (fluid filled bumps) Venous/stasis eczema mainly develops on the lower limbs from poor blood circulation and varicose veins. There remains a tendency to develop leg ulcer in such cases 8. Is eczema an allergy? There are cases of eczema that are allergic in origin, but not every case is an allergy. In allergic eczema, the skin reacts on coming into contact with an allergen. Few common allergens are poison ivy, nickel, cosmetics, and antibiotic creams. 9. Can eczema spread from skin contact? No, eczema is not contagious. It does not spread from one person to another via the skin. 10. My 2-year-old has eczema. Will it cure itself as he grows? Yes, there are chances that your child’s eczema will go away as he gets older. However, the age at which a child will start to show improvement varies though most children do start to get better by the age of three years. 11. Does stress cause eczema? Stress does not cause eczema, but yes it can cause eczema symptoms to flare up or intensify. 12. Is eczema related to weather? Eczema can arise irrespective of the weather conditions though it usually gets triggered in cold weather. 13. Will applying topical steroids/ointment help cure eczema? Ointment application offers relief from the itching, burning sensation in eczema. However, this relief is short term and ends up suppressing eczema. Treatment of eczema needs to work inside out to show results. 14. I have had eczema for years. Does Homeopathy have a permanent solution? Yes, eczema can be permanently cured with medicines though the results vary from person to person. Factors such as the severity of eczema, the spread of eczema and the duration decide the extent to which medicines will help. Also, each body responds differently to homeopathy, which decides how well an individual feels. 15. Can lifestyle changes bring relief from eczema? Yes, a few basic lifestyle measures, when adopted, can help manage eczema. These measures are as follows: Avoid bathing with water that is too cold or too hot Use a very mild soap while bathing Avoid using cosmetics and perfumes Wear cotton clothes preferably. Avoid synthetic and woolens Do yoga, meditation or breathing exercises to manage stress Avoid excessive scratching of the skin. Use a moisturizer in dry eczema to reduce itching Avoid exposure to extremely cold environments.Dr. Rajesh Gupta9 Likes19 Answers