Hi, My father travelled  to USA and got unexplained rash on his earlobes - redness and mild swelling or itchy bumps. Now he is back and still getting those rashes but worse on lot of areas of body esp. exposed to sun. He has developed extreme fatigue and bone/muscle tiredness. He checked his vitamin D which was low. Then took Vitamin d and now he seems to have normal levels of those.  He still  has extreme fatigue and bone/muscle tiredness. He also developed diarrea /stomach ache recently. Conditions do not seem to improve. Doctors in india have not been able to diagnose the issue. Please help.
Hi, It seems that your father is having actinic purity. There are itchy papulonoduar lesions on sun exposed area. The disease may be due to over exposure to sun. He must avoid sun exposure. He should cover the affected area. Give him anti histamines like levocetirizine till itch subsides. If there is infection, give him antibiotics. If the condition is embarrassing, give him steroids in tampering dose. Apply steroid cream on the lesions. Fatigue may be due to senile age, vitamin deficiency or some internal disease. Complete blood check up may be done to rule out DM, thyroid,liver diseases, renal diseases, blood diseases or other. Antioxidants, calcium and vitamins may be given to improve general health. Keep him reassured to improve psychologic status. I hope you got my answer. Thanks.