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Id reaction

Updated: Jan 5

cause

  1. 4-5% from dermatophyte infection

  2. contact dermatitis

  3. stasis dermatitis

  4. contact dermatitis , stasis dermatitis , other eczematous dermatosis

  5. immunization reaction

  6. Parasite ,pediculosis

  7. infectious

  8. dermatophyte

  9. pulmonary histoplasmosis

  10. mycobacteria

  11. bacteria

  12. virus

clinical

  1. symmetrical erythematous Maculopapular or maculovesicular  associate with stasis dermatitis

  2. follicular papule or pomphoryx like associate with tenia pedis

  3. dyshidrosis like  lesion

  4. other rash like , urticaria , erythema nodosum

  5. pruritus

  6. rash occur 1-2 week after preexist dermatitis

  7. may be have vesicle at hand and feet

treatment

  1. treat cause

  2. severe case oral prednisolone 0.5 mg/kg/day 3-7 days

  3. symptomatic treatment

  4. antihistamine

  5. topical steroid

  6. wet dressing

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