Complaint
Sarah, a 30-year-old female, has been experiencing a strange, itchy rash on her legs for the past month. The rash sometimes becomes red and swollen. She hasn't changed any skincare products or detergents recently. A blood test showed elevated eosinophil levels (8%).
Main Possible Diagnosis
Allergic Contact Dermatitis (70%) - This condition occurs when the skin comes into contact with an allergen, causing an itchy, red rash. Elevated eosinophil levels support this diagnosis.
Less Likely Diagnosis
Eczema (30%) - This is a chronic skin condition that causes itchy, inflamed skin. It can be triggered by various factors, including stress and environmental changes.
Diagnosis
The most likely diagnosis for your symptoms is Allergic Contact Dermatitis. This condition happens when your skin reacts to an allergen, leading to an itchy, red rash. The elevated eosinophil levels in your blood test support this diagnosis, as eosinophils are often elevated in allergic reactions.
Another possible diagnosis is Eczema, a chronic skin condition that causes itchy and inflamed skin. Eczema can be triggered by stress, environmental changes, or other factors, but it is less likely in your case since you haven't changed any skincare products or detergents recently.
To confirm the diagnosis, you should see a dermatologist who may perform a patch test to identify the specific allergen causing the reaction. In the meantime, try to avoid scratching the rash to prevent infection and consider using over-the-counter antihistamines to reduce itching. If the rash worsens or you experience other symptoms, seek medical attention promptly.
Medical Test Report
Your blood test showed elevated eosinophil levels at 8%. Eosinophils are a type of white blood cell that often increases in response to allergic reactions. This supports the diagnosis of an allergic condition.
Questions And Answers
Could this be an allergic reaction? Yes, it is likely an allergic reaction, as indicated by the elevated eosinophil levels in your blood test.More Tests Recommended For You
Patch test - This test will help identify the specific allergen causing the reaction. It involves applying small amounts of potential allergens to your skin and observing the reaction.Consultation with a dermatologist - A specialist can provide a thorough examination and recommend appropriate treatment.Possible Medications
Hydrocortisone cream - This topical steroid can reduce inflammation and itching. Apply a thin layer to the affected area 1-2 times daily. Side effects may include skin thinning with prolonged use. Price range: $5-$10.Cetirizine (Zyrtec) - An oral antihistamine that can help reduce itching. The usual dosage is 10 mg once daily. Side effects may include drowsiness. Price range: $10-$20 for a month's supply.Urgency Of Your Diagnosis
This situation is not an emergency, but you should see a dermatologist soon to confirm the diagnosis and start appropriate treatment.
Disclaimer
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. Contact us at hi@doctola.com