pnt age 17yr c/o no itching burnig allergic to paracetamol what is ur diagnosis & treatment



Fixed drug eruption is a type of allergic reaction to a medicine. Usually just one drug is involved, although independent lesions (patches) from more than one drug have been described. Cross-sensitivity to related drugs may occur and there are occasional reports of recurrences at the same site induced by drugs that appear to be chemically unrelated. Sometimes the inducing drug may be re-administered without causing reappearance of thepatch(es) and there may be a refractory period during which no reaction can occur after the occurrence of FDE. The number of drugs capable of causing fixed eruptions is large. Most are due to the following: Paracetamol /phenacetin and other pain killers (Panadol and many other makes)Tetracycline antibiotics; doxycycline (Doxine, Doxy, Doryx), minocycline (Minotabs, Minomycin), PanmycinSulphonamide antibiotics including cotrimoxazole (Bactrim, Septrin, Apo-Sulfatrim, Trimel, Trisul),sulfasalazine(Colizine, Salazopyrin)Acetylsalicylic acid/aspirin (Disprin and many other makes)Nonsteroidal anti-inflammatories (NSAIDs)including ibuprofen (Anafen, Brufen, Motrin, Nurofen, Panafen)Sedatives including barbiturates, benzodiazepines and chlordiazepoxide (Novapam)Hyoscine butylbromide (Buscopan, Scopoderm) seehalogenodermasDapsonePhenolphthalein (an old-fashioned laxative for constipation)Quinine (Q-200, Q-300, Quinoc), taken for cramps) Avoiding the causative is the first advisable treatment. Thank you.

Dr kazi Take detailed history. If lesions began as grouped vesicles and superficial ulcers, then its Genital Herpes simplex infec. If bullous lesion appeared after intake of a suspected drug, its probably FDE. Analgesics are common offending drugs.

paracetamol reaction all over body apear red spot with itching pt give cetrizine itching and red spot controlled next day apear lesions around abdomen front of thigh pnt says lesions fluid contact to genital area
0 application steroid..

FDR oint tenovate g bd azithro500 od

HSV tab acyclovir 400mg QID Tab azithral 500mg OD Tab atarax10 tds Broad spectrum skin cream

Tab cefixime 400 Then Cap Doxicycline 100 od Tab Hydroxizine hcl 25 bd Locally broad-spectrum skin cream

its pain less in gonorrhea ulcer is always pain less

?herpesvirus lesions


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