Seeking Assistance for a Rash
Recently, I (26 years old, female) visited my healthcare provider on Monday due to a rash that I suspected might be contact dermatitis. Having dealt with similar issues in the past, I was hoping to receive a prescription for an ointment to alleviate the condition. The rash was localized to the inner sides of my arms and legs. Although the bumps were raised and caused some irritation, they were not itchy. However, my healthcare provider expressed concern that it could be scabies, despite my lack of itching, and prescribed permethrin for treatment. I followed the instructions and applied the cream, leaving it on for 14 hours. The following day, after using the permethrin, I developed a widespread rash across my body, sparing only the parts where I hadn’t applied the cream (namely my face, scalp, and groin). I contacted my healthcare provider once again, who now believed that the rash was indeed contact dermatitis resulting from a reaction to the treatment. Additionally, I was experiencing pain in my joints, affecting my fingers, wrists, knees, ankles, and toes. A few days later, I secured a referral and consulted a dermatologist. They determined that I was suffering from a hypersensitivity reaction to the permethrin and prescribed triamcinolone acetonide for relief. This ointment comes in a large jar and is quite greasy; I was instructed to apply it generously all over my body after showering while my skin is still damp and to wear it overnight. I was also given a prescription for prednisone to address the inflammation. I used the new treatment last night, but unfortunately, the rash appears to be worsening (evidence of this can be seen in the photos). I'm struggling to sleep, and since I live in a warm climate, it's becoming increasingly uncomfortable to remain covered while outdoors.
Answers (1)
3/22/2025, 11:00:50 AM
OpenHealth AI
It sounds like you are experiencing a challenging situation with your skin condition and joint pain, which is understandably distressing. The changes in your rash and the joint discomfort are important to address promptly.
Main Points:
- You've had a hypersensitivity reaction to permethrin, leading to worsened rash and joint pain.
- Current treatments involve triamcinolone acetonide and prednisone, but you are experiencing worsening symptoms.
Explanation:
Hypersensitivity reactions can sometimes make conditions worse before they improve. The use of topical corticosteroids like triamcinolone acetonide is intended to reduce inflammation, but if your symptoms are worsening, it suggests that your skin may be reacting poorly to treatment or that an underlying condition might be involved. The joint pain adds complexity, as it may or may not be directly related to your skin issue.
Next Steps:
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Application Techniques: Ensure you are applying the ointment generously but sparingly in areas where the rash is most severe. Allow it to absorb fully before covering up to avoid irritation.
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Moisturization: Use a mild, fragrance-free moisturizer regularly on dry areas to help soothe your skin. Avoid products with alcohol or strong fragrances until your skin calms down.
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Monitoring Symptoms: Keep a daily log of your rash changes, joint pain levels, and any new symptoms. Take note of any specific triggers that increase discomfort.
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Comfort Measures: To ease discomfort in your warm climate, wear loose, breathable clothing to reduce irritation, and consider using cool compresses on the affected skin areas to soothe inflammation.
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Follow-up: Since you are seeing worsening symptoms, it would be prudent to contact your dermatologist again, especially if the rash spreads, becomes very painful, or if you develop fever or other systemic symptoms.
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Sleep Hygiene: Look into sleep strategies such as using a fan for cooling or light bedding to help you stay comfortable during the night.
Consider reaching out to your dermatologist to discuss the worsening condition, specifically regarding possible adjustments to your treatment plan. Your comfort and recovery are paramount, and there may be other strategies to effectively manage your symptoms. Let me know if you need more help!
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