Guest guest Posted September 30, 2004 Report Share Posted September 30, 2004 any thought appreciated. woman aged 41 arrived with skin eruption of only 5 days standing and rapid progression. all and only distal phalanges showed marked fissuring following small papules with thin exudate and crusting. intensely itchy intermittently, much worse at night. also 'quite sore'. all nails lifting off, almost as far as the bottom of the nail. also discrete small itchy lesions like insect bites across chest and shoulders. complains of itching in both axillae and she has a bilateral patch of raised shiny thickened erythematous skin similar to a patch of contact dermatitis under her jeans stud. she has a known nickel sensitivity which has not previously manifested systemically. recent contact with a child with chickenpox. no other history of skin disease. i suspect there are at least 2 distinct dermatological problems here. I must confess I was rather distracted by the rest of her - slight swelling of throat, exopthalmos, tremor, hairless axillae, pulse 104, palpitations, SOB, scanty infrequent periods, overheating, hungry, tired....she had no idea! I treated the skin aggressively with anti infectives and lymphatics and alteratives adn locally with comfrey cream mixed with commiphora and hydrastis powder; essential oils naiouli, helichrysum, palmarosa. - assuming it was impetigo or similar (the second woman with it on her hands this week). I was rather alarmed by the nails and can find no reference to such dramatic nail involvement in infection of any sort. or to cutaneous manifestation of thyroid disease. marianne ==================================================== nne Last BA MNIMH Consultant Medical Herbalist Monmouth Herbal Clinic Tel: 01600 719497 www.mariannelast.co.uk Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 Hi nne, I realise that this px is quite bad off but. I am also sensitive to nickel and is very sensitive to different washingpowders. Recently I decided to try a new fabricsoftener out, and voila the following day my skin had errupted on arms and shoulders, very itchy, small papules with a watery exudate - painful when itching gets a bit crusty after a while. They will not go away but has improved dramatically when redid the washing with old detergent. Mind you in your case there is probably more to it.... Stina citerar nne Last : > > > any thought appreciated. > woman aged 41 arrived with skin eruption of only 5 days standing and > rapid progression. all and only distal phalanges showed marked fissuring > following small papules with thin exudate and crusting. intensely itchy > intermittently, much worse at night. also 'quite sore'. all nails lifting > off, almost as far as the bottom of the nail. also discrete small itchy > lesions like insect bites across chest and shoulders. complains of itching > in both axillae and she has a bilateral patch of raised shiny thickened > erythematous skin similar to a patch of contact dermatitis under her jeans > stud. she has a known nickel sensitivity which has not previously > manifested > systemically. recent contact with a child with chickenpox. no other history > of skin disease. i suspect there are at least 2 distinct dermatological > problems here. > I must confess I was rather distracted by the rest of her - slight > swelling of throat, exopthalmos, tremor, hairless axillae, pulse 104, > palpitations, SOB, scanty infrequent periods, overheating, hungry, > tired....she had no idea! > I treated the skin aggressively with anti infectives and lymphatics and > alteratives adn locally with comfrey cream mixed with commiphora and > hydrastis powder; essential oils naiouli, helichrysum, palmarosa. - > assuming > it was impetigo or similar (the second woman with it on her hands this > week). I was rather alarmed by the nails and can find no reference to such > dramatic nail involvement in infection of any sort. or to cutaneous > manifestation of thyroid disease. > marianne > > > ==================================================== > nne Last BA MNIMH > Consultant Medical Herbalist > Monmouth Herbal Clinic > Tel: 01600 719497 > www.mariannelast.co.uk > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 Has she had a thyroidtest? Stina citerar nne Last : > > > any thought appreciated. > woman aged 41 arrived with skin eruption of only 5 days standing and > rapid progression. all and only distal phalanges showed marked fissuring > following small papules with thin exudate and crusting. intensely itchy > intermittently, much worse at night. also 'quite sore'. all nails lifting > off, almost as far as the bottom of the nail. also discrete small itchy > lesions like insect bites across chest and shoulders. complains of itching > in both axillae and she has a bilateral patch of raised shiny thickened > erythematous skin similar to a patch of contact dermatitis under her jeans > stud. she has a known nickel sensitivity which has not previously > manifested > systemically. recent contact with a child with chickenpox. no other history > of skin disease. i suspect there are at least 2 distinct dermatological > problems here. > I must confess I was rather distracted by the rest of her - slight > swelling of throat, exopthalmos, tremor, hairless axillae, pulse 104, > palpitations, SOB, scanty infrequent periods, overheating, hungry, > tired....she had no idea! > I treated the skin aggressively with anti infectives and lymphatics and > alteratives adn locally with comfrey cream mixed with commiphora and > hydrastis powder; essential oils naiouli, helichrysum, palmarosa. - > assuming > it was impetigo or similar (the second woman with it on her hands this > week). I was rather alarmed by the nails and can find no reference to such > dramatic nail involvement in infection of any sort. or to cutaneous > manifestation of thyroid disease. > marianne > > > ==================================================== > nne Last BA MNIMH > Consultant Medical Herbalist > Monmouth Herbal Clinic > Tel: 01600 719497 > www.mariannelast.co.uk > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2004 Report Share Posted October 1, 2004 Thanks Stina. in fact she hasn't changed anything at all. i sent her to the GP for thyroid evaluation but I think we know the answer. it's the nails that are bothering me - i've never seen them all lift off in a very short space of time. toes and toenails unaffected. Re: RE: skin eruption Hi nne, I realise that this px is quite bad off but. I am also sensitive to nickel and is very sensitive to different washingpowders. Recently I decided to try a new fabricsoftener out, and voila the following day my skin had errupted on arms and shoulders, very itchy, small papules with a watery exudate - painful when itching gets a bit crusty after a while. They will not go away but has improved dramatically when redid the washing with old detergent. Mind you in your case there is probably more to it.... Stina citerar nne Last : > > > any thought appreciated. > woman aged 41 arrived with skin eruption of only 5 days standing and > rapid progression. all and only distal phalanges showed marked fissuring > following small papules with thin exudate and crusting. intensely itchy > intermittently, much worse at night. also 'quite sore'. all nails lifting > off, almost as far as the bottom of the nail. also discrete small itchy > lesions like insect bites across chest and shoulders. complains of itching > in both axillae and she has a bilateral patch of raised shiny thickened > erythematous skin similar to a patch of contact dermatitis under her jeans > stud. she has a known nickel sensitivity which has not previously > manifested > systemically. recent contact with a child with chickenpox. no other history > of skin disease. i suspect there are at least 2 distinct dermatological > problems here. > I must confess I was rather distracted by the rest of her - slight > swelling of throat, exopthalmos, tremor, hairless axillae, pulse 104, > palpitations, SOB, scanty infrequent periods, overheating, hungry, > tired....she had no idea! > I treated the skin aggressively with anti infectives and lymphatics and > alteratives adn locally with comfrey cream mixed with commiphora and > hydrastis powder; essential oils naiouli, helichrysum, palmarosa. - > assuming > it was impetigo or similar (the second woman with it on her hands this > week). I was rather alarmed by the nails and can find no reference to such > dramatic nail involvement in infection of any sort. or to cutaneous > manifestation of thyroid disease. > marianne > > > ==================================================== > nne Last BA MNIMH > Consultant Medical Herbalist > Monmouth Herbal Clinic > Tel: 01600 719497 > www.mariannelast.co.uk > > > > > Quote Link to comment Share on other sites More sharing options...
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