Wednesday, January 18, 2017

A 16-year-old girl who just returned from a camping trip reports an intensely pruritic vesicular rash.



A 16-year-old girl who just returned from a camping trip reports an intensely pruritic vesicular rash. The most likely diagnosis is
A) Rhus dermatitis
B) Lyme disease
C) Chigger bite
D) Brown recluse spider bite
E) Black widow spider bite

The answer is A. (Rhus dermatitis)

Discussion:

Poison ivy or poison oak is also referred to as Rhus dermatitis. The condition is associated with intensely pruritic linear streaks of vesicles, papules, and blisters. The plants contain a resinous oil that gives rise to an allergic response approximately 2 days after exposure. Contrary to common belief, the fluid in the blisters can neither transfer the rash to others nor cause it to spread.
Treatment involves topical steroid creams, Burow’s solution, calamine lotion, antihistamines, cool baths with colloidal oatmeal, and oral steroids (for 2 to 3 weeks to prevent rebound dermatitis) for more widespread cases.

2 comments:


  1. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
    I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
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    He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
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  2. I TESTED POSITIVE TO HIV SINCE 2018

    I was told by my doctor that there's no possible cure for it but it can be suppressed with the use of medication!! I felt depressed & sad. I started taking my medication. I felt frustrated, so I tried to seek help online when I came across this website (https://chiefdrluckyherbaltherapy.wordpress.com/) of a doctor called Chief Dr Lucky.  Also I saw a lot of testimonials about him on how he uses natural herbal medicine to cure HIV AIDS and numerous Infections & different kinds of disease as well. So I contacted him and told him my problems after a brief consultation with him. He Prepared and  sent me the herbal medicine and I took it as he instructed me, Then he called me 3weeks after to go and have a check-up!! It brought out testing negative, I felt calm a bit, and the doctors day for more clarity I will have to come back after 1week of which I did and tested negative for the second time !! I am so wow and grateful to this doctor whose medicine has NO SIDE EFFECT, there's no special diet when taking the medicine. He also have cure for 
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