Rashes before medical

[sbdeleon22 1]

We have recently just sent our documents to NVC and will now be waiting for our interview schedule (we're hoping that they would not ask for any more additional documents) to be able to schedule for my medical exam at st. Luke's. But, I've been having rashes and i went to the derma to have it checked before. She gave me steroid cream and antihistamines and it cleared up in less than a week. She told me that it could have been just contact dermatitis. But i've been having rashes again and went back to the derma and she said she suspects scabies but is not sure because i only have rashes on my hands and torso and none on the other parts that usually has rashes when you have scabies (feet, underarms, butt). So i wasn't given medication for scabies and was prescribed only with anti inflammatory cream and antihistamines again.

My medical is almost near and i'm a little concerned that the rashes will affect the result.

I did tell the derma about the upcoming medical and she just keeps shrugging it of like everything is going to be fine but i'm still concerned since the rashes are not going away.

What should i do?

[Adil & Jeanne 296]

• Scabies is an itchy, highly contagious skin disease caused by an infestation by the itch mite Sarcoptes scabiei.

If you do have scabies, it is contagaous and will affect medical exam. This needs to be cleared up before the exam and interview.

[MrsBonsu 138]

Maybe a second opinion my oldest son had eczema when he was a baby, and through some childhood, but it came back recently and they thought it was scabies and I got a second opinion and it was his eczema the dermatologist said it just came back a different way it's on his arms, torso and some of his back, as a child it was a patch on his legs and elbow, good luck!

[TBoneTX 45,036]

*** Country-specific thread moved from CR-1 Process forum to the Philippines regional subforum. ***

[Greenbaum 12,259]

Here is some information on the cure from a prestige's University here in the states. You may want to have a discussion with your Derm to see if they can move you to the next step in treatment if the one they are prescribing is not working. Because it is contagious, you may find SLEC will delay your final medical approval till you are cured.

Here is what the website states:

Scabies is not curable without prescription medication. The two medication options are a prescription cream or prescription pills; the cream is by far the most common treatment.

The topical medication is a 5% Permethrin cream*, such as Elimite. 10% Crotamiton (Eurax) cream is suggested for infants less than 2 months of age (Markell & Voge). Creams should be applied to clean, dry skin from the top of the head to the bottom of the feet, with special attention paid to skin folds and the webs of the digits (between the fingers and toes). The topical cream is left on the skin for 10-14 hours, and then washed off in the shower. It is best to apply the cream at bedtime, and then wash it off in the morning.

*Other topical medications include 1% Gamma Benzene Hexachloride (Lindane) and 6% Sulfur. Lindane is older and less safe than other options. It has been suggested to cause neurotoxicity, especially in kids. Lindane is not recommended. Sulfur ointment is effective, but may require extra applications, is messy, smells bad, and stains clothing (Markell & Voge).

The prescription pill option is the antiparasitic drug Ivermectin. The recommended prescription is a single oral dose of 150-200 micrograms of Ivermectin per kilogram of body weight (see your medical provider for specifics). This option should not be used by small children or women who are pregnant or breast feeding.

The intense pruritus (itching) characteristic of scabies can be treated with antihistamines such as Diphenhydramine (Benadryl), Hydroxyzine (Atarax), Cetirizine (Zyrtec) and Promethazine (Phenergan). The itching and rash may last for up to two weeks after treatment for scabies.

Secondary infection by scratching of the skin occasionally leads to bacterial infections. These infections can be treated with oral antibiotics or antibiotic ointment.

For patients with crusted scabies, several applications of lotions, use of Ivermectin pills, and extensive skin care are required for management.

If scabies symptoms persist two weeks after initial treatment, treatment may need to be repeated.

http://web.stanford.edu/group/parasites/ParaSites2009/LeighaWinters_Scabies/LeighaWinters_Scabies.htm

Edited September 15, 2015 by Greenbaum