9yrs old boy brought by mother with h/o extremely itchy rash all over body for last one week. Cough and common cold resolved 2 days previously. there was no history of fever, no h/o affected any other family member. treatment history - child received syp cetrizine and local application of Lactocalamin with no relief. DX and mx



Dx :- Urticaria. This is a classical history of Ascaris lumbricoides infestation, where larval stage (Two moulting occurs in lung ) are traversing through lungs produces cough & common cold , which resolves 2 days back ( Sometimes these larval stage produces Loffler's Pneumonia ). While traversing through lungs it produces (itchy rash) URTICARIA due to allergen of larvae. Management : 1 ) Stool examination - Will not show eggs of Ascaris for these larvae and young Ascaris, may show only if adult female Ascaris lumbricoides is already present in intestine. 2) Sputum examination was helpful to demonstrate larvae of Ascaris lumbricoides. 3) Blood picture may show eosinophilia. Rx :- 1 ) Antihistamines of choice, to stabilise mast cells and to give relief from itch. If necessary short course of steroid is benificial. 2 ) Albendazole 400 mg - ODPC HS and repeat after 14 days.

sir agreed with u

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Uticaria Allegra 120 mg Venusia max lotion Albendazol 400 mg OD Steroids if above not helping

urticarial rash due to intake of drugs for cough and cold rx accordingly with systemic short course steroid in tapered manner & antihistamines. ...

आयुर्वेद के अनुसार यह शीत पित्त है। चिकित्सा संबंधी योग,,, शीत पित्त भंजन रस 60 MG शहद के साथ सुबह शाम सेवन कराएं, हरिद्रा खंण्ड 2 ग्राम सुबह-शाम पानी के साथ दे निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं

Urticarial infection

pedrous dermatitis in arms otherwise acne vulgaris on face

Urticaria Fexofenadine Suspension 30mg BD Calamine lotion Montelucast 5mg H.S can be given Oral steroid if does not respond to above tt.

urticaria same Rx with short course of steroid..

papular urticaria.treat with antihistaminics ,steroids short cource with soothning skin lotion

urticaria.. Both H1 & H2 antagonist ..steroid may be used in severe cases..

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