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dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
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Five days ago I started getting spots on both sided of my torso. Since

Resolved Question:

Five days ago I started getting spots on both sided of my torso.
Since then spots have appeared on my arms, back and more recently my face and tongue.
The spots itch and cause a burning sensation and on my tongue they feel sore.
They seemed to be spreading every and are driving me mad.
Submitted: 3 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 3 years ago.

dermdoc19 :

These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.

dermdoc19 :

Hello

dermdoc19 :

Is it possible to forward a photograph of the rash?

Customer:

Full Size Image

Customer:

Hello, have you seen the photograph?

Customer:

??

dermdoc19 :

Thank you for the picture.

dermdoc19 :

Are you taking any medication? Is there any visible change on your tongue.

dermdoc19 :

If you have not been taking any medication, I would be highly suspicious that this is generalized lichen planus. Lichen planus itches, came come out suddenly and involve the oral mucosa, including the tongue.

dermdoc19 :

We do not know what causes this, the generalized variety is a uncommon. Sometimes, it is in response to a drug. If you look at the individual lesion, we are taught the five "p"s which are Pruritic ( itchy), Planar, polygonal, purple, and papules. If the bumps on your body follow this set, this is most likely what you have.

dermdoc19 :

We generally treat this with a sedating anti-histamine such as Hydroxyzine 10-25 mg. every 4 hours, and Prednisone staaring at 1 mg./kg. a day and tapering as you get better. Your physician can also prescribe Kennalog in Orabase for the tongue problem.

dermdoc19 :

If the above does not work, you rphysician might prescribe Soriatane.

dermdoc19 :

Your physician should check you for Hepatitis C since about 15% or patients with lichen planus, and 30% of those with oral involvement, are positive for this. As you may know, Hepatitis now has very good treatment, but the earlier this is initiated, the better.

dermdoc19 :

I would recommend a biopsy to confirm the diagnosis.

dermdoc19 :

Hope that helps and feel free to get back to me with any questions.

Customer:

Is it worth getting an inflammation test, as I get burning sensation?

Customer:

Would you rule out Pityriasis rosea?

dermdoc19 :

I can not rule Pityriasis Rosea out, especially if there was a herald patch. While not typical, this could be a variant. Pitryiasis Rosea can occasionally itch quite a bit. By inflamamtion test doyou mean a sedimentation rate?

Customer:

Ok thanks for your answers.

dermdoc19 :

Very welcome. Please let me know what happens.

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