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skin rash?linchen planus?

hey guys i was about to start treatment but ive put it off for a month due to personal reasons, about a month ago i got my hep a and b shot first one and since then ive had a ras on my chest that has spead to my arms and back it is so itchy ive also started antidepressants and i was just wondering has anyone heard of lichen planus? my family doc has put me on creams and antibiotics but the biotics gave me hives on my legs, the creams rn't helping only cold works and ive been taking benidryl for the past 3 weeks with no results. the doc is so confused about this and is consulting with other docs now and they say demititus. ive been looking up every rash i could find on line and this seems to be the closes but it says its mainly on the hands, ankles and feet and mouth. Any thoughts or ideas to get rid of it?
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92903 tn?1309904711
Check with your liver doc about taking iron. That sounds iffy from here.
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Avatar universal
Sorry, I now see that your doc is already consuting other docs (I assume you mean a dermatologist). Has anyone suggested a skin biopsy of the lesions?
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Avatar universal
You really should see a dermatologist to evaluate this problem. I'm surprised that your doc did not refer you to one.  As you no doubt discovered from your internet search, there are many diffferent types of skin rashes/lesions, and you may have more than one type. I've had lichen planus, psoriasis and dermatitis going on at the same time.

I agree with wilbb about the antibiotics. It doesn't make sense, but I am no doctor.  Many skin rashes are treated with topical corticosteroid   creams/lotions/ointments (with or without an anti-fungal) and sometimes with ultraviolet light therapy.

I strongly recommend that you see a dermatologist and get the skin issues under control before starting treatment.  Good luck!
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Avatar universal

  I  have had in the past some minor bouts with lichen planus,however only on the gum area,  My Hepa said it was a symptom (albeit a rare one of HCV). I didn"t have it anywhere else on my body. However if that is what you have ,you will need an anti-fungal medication. Most docs aren"t that familiar with lichen planus.so they prescribe all kinds of things just experimenting. Actually if it is lichen planus.antibiotics will make it worse.
Not sure if that is what you have,however if so  get the doc to try an anti fungal.  

Hope you get some relief..

WILL
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87972 tn?1322661239
As you start managing HCV keep a close eye on your iron. We tend to have iron storage issues; often it’s elevated, and high iron can be problematic with the liver, and perhaps even cause the antiviral meds to be less effective.

Always follow your doctor’s orders, but you might ask him to perform something called an ‘iron study’ or iron panel to see where you stand.

PCT is usually rather distinctive, I think; the stuff I’ve seen looks like raised, fluid-filled blisters that tear easily. Almost like the patient had been burned with hot cinders or something.

Good luck with everything,

Bill

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Avatar universal
hmm thanks, for the link, i have low iron so my doc put me on mutlity vitiamins with a high iron but i cant remember to take them all the time, because im on so much and i cant take them within a certain time of my other ones so they usually get forgotten
Helpful - 0
87972 tn?1322661239
There is a condition called Porphyria Cutanea Tarda (PCT) that’s closely associated with HCV. It involves high serum iron and can usually be managed by either eliminating the HCV and/or phlebotomy sessions.

It can be exacerbated by direct sun exposure, and is usually found on the hands, arms, chest, and other sun-eposed areas.

Here’s a link to the Wiki article on it. I have no idea if this is what you’re dealing with, but because of it’s association with HCV I though it’s worth mentioning:

“While inherited deficiencies in uroporphyrinogen decarboxylase often lead to the development of PCT, there are a number of risk factors that can both cause and exacerbate the symptoms of this disease. One of the most common risk factors observed is infection with the Hepatitis C virus.[5] One review of a collection of PCT studies noted Hepatitis C infection in 50% of documented cases of PCT. Additional risk factors include alcohol abuse, excess iron, and exposure to chlorinated cyclic hydrocarbons.”

http://en.wikipedia.org/wiki/Porphyria_cutanea_tarda

Good luck,

Bill
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Avatar universal
it is almost different from my chest to my arms to my back but i think thats due to scratching but yes they somewhat look like watery blisters on the chest
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87972 tn?1322661239
Does this rash consist of watery blisters?
Helpful - 0
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