I am a 40 y/o ER physician and have developed a recurrent, erythematous, intensely pruritic burning rash on my lower lip and the upper chin area just below the lower lip. It is very painful and has a prodrome just like that of herpes labialis, only no blisters ever form. The rash is confined to the lower lip and chin and just stays intensely red, with some lower lip swelling and burning. No submental or cervical lymphadenopathy is associated with it, but I feel run down and headachy when it recurs monthly. I have tried to take 500 - 1000 mg of Valtrex tid at the onset of the symptoms, but the rash still occurs despite this. The duration of the painful/pruritic rash is ~ 10 days, and healing manifests itself by peeling of the skin. I used to get herpes labialis with blisters, but no longer. What is this? Could it be an atypical form of herpes labialis?
As a PMHx background, I have Common Variable Immune Deficiency Syndrome, with B & T cell impairment (but not on IGg replacement), and a few autoimmune conditions; vitiligo x 30 yrs, Hashimoto's thyroiditis with hypothyroidism, and Raynaud's phenomenon. Healthwise, I am very active as a competitive runner and use sunscreen daily (including my lips) year round. I live in western Oregon.
I really don't know. You might want to swab the area for viral culture when the redness and burning peak. You might also want to try taking suppressive Valtrex at 500 mg per day for a few months to see of that stops the recurrences. (Taking it at the start of symptoms generally has little effect on recurrent herpes.) I'm not familiar with Common Variable Immune Deficiency Syndrome.
If the culture proves herpes, or if the suppression seems to work, you may want to stay on Valtrex continually in view of the frequency of recurrence and the run-down feelings you suffer with them.
Hi, i just ran into something that sufferers of Keratosis Pilaris may be interested in, kind of a weird way i ran into it but i've tried it and it appears to smooth out the surface of the skin a noticable amount. Ok many know that a sunburn will remove them temporarily but that is neither safe nor convenient, also many know that you can scrub them off but that is annoying and requires much maintenance, maybe try to moisturize them but not some high priced creams and regular lotions sometimes don't appear to help, so try something made for cow **** (to prevent frostbite) i know it sounds weird but it is about $5 per tube (nice sized tube) and is worth a shot huh? try it for 2 days its called Utterbalm.
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.