How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask dermdoc19 Your Own Question

dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
50983945
Type Your Dermatology Question Here...
dermdoc19 is online now

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: 2 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 2 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.

dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience: 30 years practice in general and cosmetic dermatology
dermdoc19 and other Dermatology Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • dermdoc19

    dermdoc19

    Dermatologist

    Satisfied Customers:

    2779
    30 years practice in general and cosmetic dermatology
< Previous | Next >
  • http://ww2.justanswer.com/uploads/dermdoc19/2010-09-30_160749_Photo_122807_015.JPG dermdoc19's Avatar

    dermdoc19

    Dermatologist

    Satisfied Customers:

    2779
    30 years practice in general and cosmetic dermatology
  • http://ww2.justanswer.com/uploads/tcsatish/2009-4-14_221547_satish_pp.jpg Dr. Skinner's Avatar

    Dr. Skinner

    Dermatologist

    Satisfied Customers:

    1548
    MD , DNB ( D &V), FAAD
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology