Mild skin rash on one hand High eosinophils Consider.. Insect bite... allergic rkn Filarial lymphangitis Parasitic diseases... strongyloid.. ascaris... cutaneous larva migrans Allergic contact dermatitis Drug allergy Food related allergy Idiopathic eosinophilia..mostly familial Tropical eosinophilia. Sug. Clinical correlation S.IgE Specific serologic allergy test..eia or immunocap.
Eosinophils are a type of disease-fighting white blood cell. This condition most often indicates a parasitic infection, an allergic reaction or cancer. You can have high levels of eosinophils in your blood (blood eosinophilia) or in tissues at the site of an infection or inflammation Ivermectin 6.mg + Albandazole 400.mg 1 tab.OD x 4 days . Repeat after 3 weeks for consecutive 2 days. DEC ..100 mg 1 tab TD .x 21 days. Corticosteroid for short span. Fexafenedine 180.mg./1 tab od x 10 days. Stop the medicine , which can cause allergic reaction.
Eosinophilia If more then 500 absolute eosinophilia count Hetrazan100 mg tds21 days Then reassess Iif not reduce chance of malignancy so be serious
Thanks for your response @Dr. Ram Gupta . This was second report. Earlier one from different lab also gave similar report. No other symptoms are there except for a little bit redness and swelling on a part of one hand.
Repeat CBC, &other symptoms?
Tab Bandy plus one Tab once in a week for four such, Tab Benocide forte one tds for one month
@@Curofy @Dr. Rajwant Singh @Dr. Dineshchandra Sharma @Dr. Riju N @Dr. Parveen Yograj @Dr. Prakash Shere @Dr. Surender Kumar
Young girl with eosinophils then it is allergy Might be due to food Water and dust
Rule out HES .Also send sample for molecular analysis...PDGFRA PDGFRB and FGFR1
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40year old patient came to clinic with facial and scalp odema, itching and rashes present. patient said last night after using hair dye, she washed her hair with clinic plus shampoo these symptoms appearDr. Sahil Tandon1 Like24 Answers
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A 4 year old female child presented with red lesions over the arm. According to parents severe itching is present that is relieved by cold. Child is irritable due to itching. It is present since 4 days. Parents ndoes not give any history of insect bite. What is the diagnosis and treatment for this child.Dr. Sweety Bajoria6 Likes58 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 Gupta8 Likes12 Answers
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Friends today I am discussing about a common problem known as Allergies. Which can be of any type and severity. An allergy is an immune system response to a foreign substance that’s not typically harmful to your body. These foreign substances are called allergens. They can include certain foods, pollen, or pet dander. Your immune system’s job is to keep you healthy by fighting harmful pathogens. It does this by attacking anything it thinks could put your body in danger. Depending on the allergen, this response may involve inflammation, sneezing, or a host of other symptoms. Your immune system normally adjusts to your environment. For example, when your body encounters something like pet dander, it should realize it’s harmless. In people with dander allergies, the immune system perceives it as an outside invader threatening the body and attacks it. Allergies are common. Several treatments can help you avoid your symptoms. Symptoms of allergies The symptoms you experience because of allergies are the result of several factors. These include the type of allergy you have and how severe the allergy is. If you take any medication before an anticipated allergic response, you may still experience some of these symptoms, but they may be reduced. For food allergies Food allergies can trigger swelling, hives, nausea, fatigue, and more. It may take a while for a person to realize that they have a food allergy. If you have a serious reaction after a meal and you’re not sure why, see a medical professional immediately. They can find the exact cause of your reaction or refer you to a specialist. For seasonal allergies Hay fever symptoms can mimic those of a cold. They include congestion, runny nose, and swollen eyes. Most of the time, you can manage these symptoms at home using over-the-counter treatments. See your doctor if your symptoms become unmanageable. For severe allergies Severe allergies can cause anaphylaxis. This is a life-threatening emergency that can lead to breathing difficulties, lightheadedness, and loss of consciousness. If you’re experiencing these symptoms after coming in contact with a possible allergen, seek medical help immediately. Everyone’s signs and symptoms of an allergic reaction are different. Read more about allergy symptoms and what might cause them. Allergies on skin Skin allergies may be a sign or symptom of an allergy. They may also be the direct result of exposure to an allergen. For example, eating a food you’re allergic to can cause several symptoms. You may experience tingling in your mouth and throat. You may also develop a rash. Contact dermatitis, however, is the result of your skin coming into direct contact with an allergen. This could happen if you touch something you’re allergic to, such as a cleaning product or plant. Types of skin allergies include: Rashes. Areas of skin are irritated, red, or swollen, and can be painful or itchy. Eczema. Patches of skin become inflamed and can itch and bleed. Contact dermatitis. Red, itchy patches of skin develop almost immediately after contact with an allergen. Sore throat. Pharynx or throat is irritated or inflamed. Hives. Red, itchy, and raised welts of various sizes and shapes develop on the surface of the skin. Swollen eyes. Eyes may be watery or itchy and look “puffy.” Itching. There’s irritation or inflammation in the skin. Burning. Skin inflammation leads to discomfort and stinging sensations on the skin. Rashes are one of the most common symptoms of a skin allergy. Find out how to identify rashes and how to treat them. Causes of allergies Researchers aren’t exactly sure why the immune system causes an allergic reaction when a normally harmless foreign substance enters the body. Allergies have a genetic component. This means parents can pass them down to their children. However, only a general susceptibility to allergic reaction is genetic. Specific allergies aren’t passed down. For instance, if your mother is allergic to shellfish, it doesn’t necessarily mean that you’ll be, too. Common types of allergens include: Animal products. These include pet dander, dust mite waste, and cockroaches. Drugs. Penicillin and sulfa drugs are common triggers. Foods. Wheat, nuts, milk, shellfish, and egg allergies are common. Insect stings. These include bees, wasps, and mosquitoes. Mold. Airborne spores from mold can trigger a reaction. Plants. Pollens from grass, weeds, and trees, as well as resin from plants such as poison ivy and poison oak, are very common plant allergens. Other allergens. Latex, often found in latex gloves and condoms, and metals like nickel are also common allergens. Seasonal allergies, also known as hay fever, are some of the most common allergies. These are caused by pollen released by plants. They cause: itchy eyes watery eyes runny nose coughing Food allergies are becoming more common. Find out about the most common types of food allergies and the symptoms they cause. Allergy treatments The best way to avoid allergies is to stay away from whatever triggers the reaction. If that’s not possible, there are treatment options available. Medication Allergy treatment often includes medications like antihistamines to control symptoms. The medication can be over the counter or prescription. What your doctor recommends depends on the severity of your allergies. Allergy medications include: antihistamines like diphenhydramine (Benadryl) corticosteroids cetirizine (Zyrtec) loratadine (Claritin) cromolyn sodium (Gastrocrom) decongestants (Afrin, Suphedrine PE, Sudafed) leukotriene modifiers (Singular, Zyflo) Immunotherapy Many people opt for immunotherapy. This involves several injections over the course of a few years to help the body get used to your allergy. Successful immunotherapy can prevent allergy symptoms from returning. Emergency epinephrine If you have a severe, life-threatening allergy, carry an emergency epinephrine shot. The shot counters allergic reactions until medical help arrives. Common brands of this treatment include EpiPen and Twinject. Some allergic responses are a medical emergency. Prepare for these emergency situations by knowing allergic reaction first aid. Natural remedies for allergies Many natural remedies and supplements are marketed as a treatment and even a way to prevent allergies. Discuss these with your doctor before trying them. Some natural treatments may actually contain other allergens and make your symptoms worse. For example, some dried teas use flowers and plants that are closely related to plants that might be causing you serious sneezing. The same is true for essential oils. Some people use these oils to relieve common symptoms of allergies, but essential oils still contain ingredients that can cause allergies. Each type of allergy has a host of natural remedies that may help speed up recovery. There are also natural options for children’s allergies, too. How allergies are diagnosed Your doctor can diagnose allergies in several ways. First, your doctor will ask about your symptoms and perform a physical exam. They’ll ask about anything unusual you may have eaten recently and any substances you may have come in contact with. For example, if you have a rash on your hands, your doctor may ask if you put on latex gloves recently. Lastly, a blood test and skin test can confirm or diagnose allergens your doctor suspects you have. Allergy blood test Your doctor may order a blood test. Your blood will be tested for the presence of allergy-causing antibodies called immunoglobulin E (IgE). These are cells that react to allergens. Your doctor will use a blood test to confirm a diagnosis if they’re worried about the potential for a severe allergic reaction. Skin test Your doctor may also refer you to an allergist for testing and treatment. A skin test is a common type of allergy test carried out by an allergist. During this test, your skin is pricked or scratched with small needles containing potential allergens. Your skin’s reaction is documented. If you’re allergic to a particular substance, your skin will become red and inflamed. Different tests may be needed to diagnose all your potential allergies. Start here to get a better understanding of how allergy testing works. Preventing symptoms There’s no way to prevent allergies. But there are ways to prevent the symptoms from occurring. The best way to prevent allergy symptoms is to avoid the allergens that trigger them. Avoidance is the most effective way to prevent food allergy symptoms. An elimination diet can help you determine the cause of your allergies so you know how to avoid them. To help you avoid food allergens, thoroughly read food labels and ask questions while dining out. Preventing seasonal, contact, and other allergies comes down to knowing where the allergens are located and how to avoid them. If you’re allergic to dust, for example, you can help reduce symptoms by installing proper air filters in your home, getting your air ducts professionally cleaned, and dusting your home regularly. Proper allergy testing can help you pinpoint your exact triggers, which makes them easier to avoid. These other tips can also help you avoid dangerous allergic reactions. Complications of allergies While you may think of allergies as those pesky sniffles and sneezes that come around every new season, some of these allergic reactions can actually be life-threatening. Anaphylaxis, for example, is a serious reaction to the exposure of allergens. Most people associate anaphylaxis with food, but any allergen can cause the telltale signs: suddenly narrowed airways increased heart rate possible swelling of the tongue and mouth Allergy symptoms can create many complications. Your doctor can help determine the cause of your symptoms as well as the difference between a sensitivity and a full-blown allergy. Your doctor can also teach you how to manage your allergy symptoms so that you can avoid the worst complications. Asthma and allergies Asthma is a common respiratory condition. It makes breathing more difficult and can narrow the air passageways in your lungs. Asthma is closely related to allergies. Indeed, allergies can make existing asthma worse. It can also trigger asthma in a person who’s never had the condition. When these conditions occur together, it’s a condition called allergy-induced asthma, or allergic asthma. Many people with allergies may develop asthma. Here’s how to recognize if it happens to you. Allergies vs. cold Runny nose, sneezing, and coughing are common symptoms of allergies. They also happen to be common symptoms of a cold and a sinus infection. Indeed, deciphering between the sometimes-generic symptoms can be difficult. However, additional signs and symptoms of the conditions may help you distinguish between the three. For example, allergies can cause rashes on your skin and itchy eyes. The common cold can lead to body aches, even fever. A sinus infection typically produces thick, yellow discharge from your nose. Allergies can impact your immune system for prolonged periods of time. When the immune system is compromised, it makes you more likely to pick up viruses you come into contact with. This includes the virus that causes the common cold. In turn, having allergies actually increases your risk for having more colds. Identify the differences between the two common conditions with this helpful chart. Allergy cough Hay fever can produce symptoms that include sneezing, coughing, and a persistent, stubborn cough. It’s the result of your body’s overreaction to allergens. It isn’t contagious, but it can be miserable. Unlike a chronic cough, a cough caused by allergies and hay fever is temporary. You may only experience the symptoms of this seasonal allergy during specific times of the year, when plants are first blooming. Additionally, seasonal allergies can trigger asthma, and asthma can cause coughing. When a person with common seasonal allergies is exposed to an allergen, tightening airways can lead to a cough. Shortness of breath and chest tightening may also occur. Find out why hay fever coughs are typically worse at night and what you can do to ease them. Allergies and bronchitis Viruses or bacteria can cause bronchitis, or it can be the result of allergies. The first type, acute bronchitis, typically ends after several days or weeks. Chronic bronchitis, however, can linger for months, possibly longer. It may also return frequently. Exposure to common allergens is the most common cause of chronic bronchitis. These allergens include: cigarette smoke air pollution dust pollen chemical fumes Unlike seasonal allergies, many of these allergens linger in environments like houses or offices. That can make chronic bronchitis more persistent and more likely to return. A cough is the only common symptom between chronic and acute bronchitis. Learn the other symptoms of bronchitis so you can understand more clearly what you may have. Allergies and babies Skin allergies are more common in younger children today than they were just a few decades ago. However, skin allergies decrease as children grow older. Respiratory and food allergies become more common as children get older. Common skin allergies on babies include: Eczema. This is an inflammatory skin condition that causes red rashes that itch. These rashes may develop slowly but be persistent. Allergic contact dermatitis. This type of skin allergy appears quickly, often immediately after your baby comes into contact with the irritant. More serious contact dermatitis can develop into painful blisters and cause skin cracking. Hives. Hives are red bumps or raised areas of skin that develop after exposure to an allergen. They don’t become scaly and crack, but itching the hives may make the skin bleed. Unusual rashes or hives on your baby’s body may alarm you. Understanding the difference in the type of skin allergies babies commonly experience can help you find a better treatment. Living with allergies Allergies are common and don’t have life-threatening consequences for most people. People who are at risk of anaphylaxis can learn how to manage their allergies and what to do in an emergency situation. Most allergies are manageable with avoidance, medications, and lifestyle changes. Working with your doctor or allergist can help reduce any major complications and make life more enjoyable. Here are common homeopathic remedies for allergies. Find the one that describes your dominant symptoms, and take a low-potency dosage (between 6x and 30c) two to three times a day for two weeks. If you notice that you’re feeling better, continue taking it through the allergy season or until you are symptom-free. If not, work with a qualified homeopath to find the right remedy. Allium cepa Try this remedy when nasal mucus irritates your nose or upper lip; your eyes are runny but the discharge is bland and non-irritating; you feel worse from warm rooms, and better in open air. Arsenicum album Symptoms for this remedy include stuffiness and copious watery nasal discharge that burns the lips; a burning sensation in the eyes, nose, and/or throat (often right-sided); sneezing upon waking, often with a tickle in the nose; anxiety and restlessness; symptoms are better from warmth (hot drinks, warm baths). Euphrasia officinalis Symptoms for this remedy are centered in the eyes: profuse tearing that is acrid and burning in nature; bland, non-irritating nasal discharge. Respiratory symptoms (runny nose, cough) are worse on rising in the morning; symptoms are better in open air and in the dark. Natrum muriaticum Try this remedy when you have a watery or egg-white-like nasal discharge; paroxysms of sneezing; chapped lips and cracks at the corners of the mouth; dark circles under the eyes; headaches. Sabadilla Symptoms for this remedy include an itchy nose; violent, debilitating sneezing; runny eyes that become worse in cold outdoor air and from flower pollen; symptoms are better from warm drinks and warm rooms. Wyethia Try this remedy when you experience extreme itching in the throat and palate that can extend to the ears; or a sore throat with hoarseness. And other can be on the basis of totality of symptoms.Dr. Rajesh Gupta8 Likes11 Answers
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Hi curofians, This is the case of DYE REACTION leads to severe CONTACT DERMATITIS. Please share your views and pons and cons of the dyes and its ingredients. Why some people are sensitive for these? Any PPD free dyes in the market? Start this debate?Dr. P.kishore Kumar1 Like9 Answers