What helps quickly when eczema worsens after antibiotics?

Question

Hello doctor,

My brother has been diagnosed with dyshidrotic eczema. He experienced a severe flare-up five years ago, and he is currently experiencing another significant flare-up. He is exhibiting symptoms on both hands, and an itchy rash has also appeared on his knees.

Interestingly, the rash on his left knee appeared after he had a fall recently, while he already had a slight rash on his hands at that time. Initially, the doctor suspected a bacterial infection in his left knee and prescribed antibiotics. However, after two doses of antibiotics, his hand eczema worsened dramatically overnight, with swelling and blisters appearing all over.

When he visited the doctor the next morning, the doctor only recommended a low-dose steroid ointment. However, he is still struggling with his condition. All his blood tests, including CRP, came back normal.

I am attaching some pictures for reference. Could you please suggest the right course of action for quick relief?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

It appears to be atopic eczematous dermatitis with pompholyx, a type of eczema seen in people with sensitive or allergic skin, where they develop itchy inflammation along with small fluid-filled blisters, usually on the hands or feet.

I hope this helps.

Kindly revert in case of further queries.

Thank you,

Answer 2

Hello,

Welcome back to icliniq.com.

Based on your symptoms, I recommend applying Physiogel hypoallergenic lotion twice daily, especially right after bathing, for two weeks to help repair your skin barrier. Take Loratadine 10 mg once daily after breakfast for 10 days to reduce itching, and apply FM Derma ointment (Fusidic acid and Mometasone cream) at night for 10 days as prescribed. Avoid scratching or rubbing the affected areas and maintain gentle hygiene.

Since stress can worsen eczema, try to manage it with relaxation techniques and proper sleep. Monitor your blood sugar regularly if applicable, as high levels can delay healing. Also, avoid frequent contact with detergents, harsh soaps, chemicals, and excessive water exposure, use gloves when possible, and protect your skin from extreme weather conditions.

I hope this information helps you.

Let me know if you need further assistance.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

Kindly avoid known triggers and food allergens.

I hope this helps.

Kindly revert in case of further queries.

Thank you.