Unilateral

Do you have a question related to a skin condition that doesn't fit in any of the other boards? Perhaps you're living with ichthyosis, hyperhidrosis or something else we've not covered? Your questions and discussions can be posted here.

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MPJ12345
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Joined: Fri Sep 11, 2020 10:39 am
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by MPJ12345 on Fri Sep 11, 2020 7:32 pm

Unilateral

Unilateral hand rash, burning/ itching, certain loss feeling in fingers with some joint pain, relief from ice, capsaicin, done consultants, eczema, psoriasis, late stage Lyme, or chronic solar pruritus ?, foraminal spinal stenosis C4/7
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Dr Nevianna Bordet
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by Dr Nevianna Bordet on Wed Sep 16, 2020 4:33 pm

Re: Unilateral

Thanks for your post. A unilateral rash like this always makes me suspect a fungal infection. This can mimic eczema or psoriasis and if you have applied topical steroids on it then it is often Tinea incognito - Fungus in disguise! Ask your doctor to take some skin scrapings to look for fungal infection (also known as mycology).
Dr Nevianna Bordet
Consultant Dermatologist

http://www.talkhealthpartnership.com/on ... bordet.php

MPJ12345
Posts: 5
Joined: Fri Sep 11, 2020 10:39 am
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by MPJ12345 on Wed Sep 16, 2020 5:50 pm

Re: Unilateral

Hi,
Saw a dermatologist last year, had this for 18 months, spreading up arm, which is why I’ve tried steroid creams because biopsy said chronic inflammation possibly eczema but loss feeling not always Eczema, just found ice & capsaicin seem to help, problem is at the moment difficult to see another dermatologist which is why I’m here, the foraminal stenosis of left hand side of C4/7 was found due to headaches/ facial neuralgia

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Dr Nevianna Bordet
Posts: 39
Joined: Wed May 06, 2020 12:27 pm
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by Dr Nevianna Bordet on Wed Sep 16, 2020 10:25 pm

Re: Unilateral

The skin biopsy may show chronic inflammation but the eczema may still be due to a fungal infection. If a special fungal stain was performed on the skin biopsy then this may identify the problem, if not then a fungal infection can be missed. I think your GP may want to prescribe an anti-fungal cream in combination with a topical steroid as there is a lot of inflammation clinically on your skin and a purely anti fungal cream is unlikely to clear it up even if it is a fungal problem.
Dr Nevianna Bordet
Consultant Dermatologist

http://www.talkhealthpartnership.com/on ... bordet.php

MPJ12345
Posts: 5
Joined: Fri Sep 11, 2020 10:39 am
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by MPJ12345 on Thu Sep 17, 2020 3:40 pm

Re: Unilateral

Thank you, getting prescription tomorrow to try for a few weeks, fingers X

MPJ12345
Posts: 5
Joined: Fri Sep 11, 2020 10:39 am
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by MPJ12345 on Fri Sep 18, 2020 11:49 am

Re: Unilateral

Given me Trimovate cream, does burn a bit, but fingersX, two weeks, if it’s still there in a few weeks, shall I see another dermatologist as this clinic would have finished or see one anyway ?

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Dr Sree Krishna
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by Dr Sree Krishna on Mon Sep 21, 2020 7:42 pm

Re: Unilateral

Hello,

I work as a dermatologist and skin pathologist so I can say this - don't put blind faith in the biopsy result!

I would be HIGHLY suspicious of this being tinea incognito. As Dr. Bordet says, skin scrapings to look for fungus may give you the final answer!

Best wishes,

Sree
Dr Sreedhar Krishna
Consultant Dermatologist and Honorary Clinical Fellow in Dermatopathology

https://www.talkhealthpartnership.com/c ... ar-krishna

MPJ12345
Posts: 5
Joined: Fri Sep 11, 2020 10:39 am
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by MPJ12345 on Tue Sep 22, 2020 8:35 am

Re: Unilateral

I have been trying the trimovate for 5 days now, I know it’s not a long time but, the itching now keeps me awake, along with the burning in my spine, strange symptoms I know, with unbearably itchy red spots keep popping up, trying to post image but not easy on here, & trying to see dermatologist but not easy at the moment for some reason

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