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case 23 insect bite reaction

Updated: Jan 5

case : 40 years female

history : 1 week PTA start to have itching papule on expose area after back from the beach

previous treatment , prednisolone 20 mg per day for 5 day , topical steroid [clobetasol ] oral antihistamine

physical examination : multiple erythematous papule and nodule at extremities

impression : insect bite reaction

treatment :

  1. clobetasol apply bid

  2. hydroxyzine po od hs

  3. fexofenadine po od pc morning

  4. 10% urea cream apply bid

  5. pred 1tab po tid pc 3 days

follow up 1 week

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