a 65 year old man has a itchy red rash all over his body. His hands and face are swollen. His Doctor gave him someanti-itch cream but does not what is causing his symptoms. He is using the same laundry detergent, bath soap etc.I am sorry he is on disability we cant afford the fee. Thank you.
Hello and welcome to Chat Doctor I would keep a possibility of Acute Urticaria. It can present as itching and skin welts/swellings, which can be localized to a particular area, or they distributed all over the body. The lesions are evanescent, and they rarely last for more than 24 hoursUrticaria OR hives can occur due to various causes like(to name a few):--Infections(bacterial, viral, fungal)-- Chat Doctor. --Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc--Autoimmune disorders like SHE, RA etc.--A few cases have no underlying cause and are known as idiopathic urticaria. I would advise you to get few basic lab tests like Hologram, stool for ova/cyst, Urine routine, Chest X-Ray. An oral antihistamine like Fexofenadine (Allegra 180 mg tab) OR Loratadine (Alaskan 10 mg tablet) once or twice daily for a week would be suitable. They are non-sedating and won't affect your alertness level. A topical soothing lotion like calamine would help you symptomatically. Regards