Discharged from Hospital on Tuesday - New Rash Emerged Today. Should I Return?
I’m a 28-year-old female without any remarkable medical background, but I did spend a fortnight in a hospital due to an unexpected onset of weakness and pain, which left me unable to walk. Currently, I am still recovering from those effects, and despite extensive testing, no definitive answers have emerged—follow-up appointments are scheduled, but they won’t happen for a few weeks. The only significant finding was an alarming vitamin D deficiency, which multiple doctors remarked was the lowest level they had encountered, leaving them puzzled as to why someone of my age and lifestyle would experience that. Last weekend, I experienced a sore throat and completed an antibiotic regimen while hospitalized, although I can’t recall the specific medication. While there, I was also prescribed gabapentin and baclofen, along with a five-day course of solu-medrol, which I completed on March 12th. Currently, I am not on any medications, as I have struggled to get my pharmacy to refill the gabapentin prescription. It's frustrating because it was the only effective treatment for my leg pain. The last dose I took of both baclofen and gabapentin was Tuesday morning. The only medication I am consistently taking is Adderall 10mg, which I've been on for a few years without any issues. Today, I woke up to find a rash spreading across my face and neck, which has worsened as the day has gone on. The rash resembles acne, though there are no signs of pus. It causes mild itching but predominantly burns; some areas appear to be slightly peeling. Interestingly, last night, I noticed that my glasses were irritating my nose to the extent that I had to remove them. I cleaned them with soap and water, but that did not alleviate the discomfort. Unfortunately, since it's the weekend, my only option is to return to the hospital, which I would prefer to avoid if possible and wait until Monday. I haven't introduced any new detergents, clothes, or foods, and cannot pinpoint any potential allergens. I do not have a fever, symptoms of anaphylaxis, nor any known allergies. I’m not seeking a diagnosis, but I’m curious about what might warrant a trip to the hospital. This rash is unlike anything I’ve dealt with before, and I feel somewhat discouraged given the inconclusive test results from the past weeks—returning now feels a bit embarrassing. Nonetheless, the rash is distinctly red, uneven, and uncomfortable… could this possibly be a delayed reaction to the steroids?
Answers (1)
3/22/2025, 9:40:49 PM
OpenHealth AI
It's understandable to be concerned about a new rash, especially after a recent hospital stay and ongoing recovery. A rash that appears suddenly can be caused by various factors, including medication reactions, infections, or even stress on the body from illness. Given your history of recent hospitalizations and treatments, it’s important to pay attention to how your symptoms evolve.
Explanation
The rash you describe—red, uneven, mildly itchy, and burning—could stem from several sources. Possible considerations include:
- Allergic Reaction: Even if you haven't changed medications or substances, it's possible to develop sensitivities to medications (like steroids) that were used during your hospital stay.
- Contact Dermatitis: This could occur from something irritating your skin, such as your glasses, or even from soap or other products you've recently used.
- Viral Exanthem: Especially after illness, rashes can occasionally develop as the body recovers from a virus.
Since you're lacking serious symptoms like fever or widespread swelling, immediate anxiety about returning may be unnecessary, but it’s essential to monitor the situation closely.
Prioritized Next Steps
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Monitor the Rash: Keep an eye on the rash for any changes in appearance, worsening symptoms, or progression (e.g., spreading, blistering).
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Avoid Irritants: Stop wearing the glasses that bother you and avoid any products that may further irritate your skin, such as heavy creams or fragrances.
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Remove Potential Triggers: If you have any new skincare products or medications, consider stopping them temporarily to see if it helps.
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Cool Compresses: Apply a cool, clean cloth to the rash intermittently to relieve burning or itching.
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Over-the-Counter Relief: If the itching is bothersome, consider taking an over-the-counter antihistamine, like diphenhydramine (Benadryl), to help. (Make sure to follow dosage guidelines.)
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Arrange for Follow-up Care: Reach out to your healthcare provider for advice on when to see them next, especially regarding the ongoing vitamin D deficiency and your medication refill.
When to Seek Immediate Care
You should consider heading back to the hospital if:
- The rash becomes increasingly painful or spreads rapidly.
- You develop systemic symptoms like fever, difficulty breathing, or swelling of the face or throat.
- Your discomfort escalates and is unmanageable.
Feeling discouraged is normal given your recent health challenges, but seeking help when needed is crucial. Don’t hesitate to reach out for care if your symptoms change. Take care, and I hope you find relief soon!
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