Skin reaction. What can cause this?

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Need to know the symptoms and the duration since when she is having. For further evaluation and management kindly consult me on practo

Share the image or take antihistaminic drug for it.

Blood test for igg ige, igm.  To know  type of allergy. Tab montek lc one at night for five days.

Can u pls share the pics of allergy? Kindly consult with me on 94 two six eight six 78 nine six.

Could be anything. Something that she has eaten or any bed bugs. She can take cetrizine 10mg at night after eating for 3 days. if the allergy is still flaring up, reach nearby clinic.

Cetrizine 10mg at night for 3 days

The medicine could make you a little sleepy so take it only at night after eating.

Kindly share the image her allergic skin. It can be increased immunoglobins or some other cause of allergy. Needs physical evaluation and treatment as per evaluation. Contact me for further treatment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Hello, I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me. Thank you for sharing your mother’s details. I understand your concern, and I will explain this clearly and calmly. Your mother being 47 years old, with normal blood sugar and blood pressure, but having grade 2 non alcoholic fatty liver, can still develop skin allergy or itching, and this is not uncommon. Possible causes of her skin allergy • Fatty liver related metabolic inflammation Even with normal sugar and BP, fatty liver is associated with internal inflammation, which can sometimes manifest as skin itching or rashes. • Dry skin and seasonal factors Especially common around the neck, abdomen, and hands, and less on the legs. • Allergic dermatitis or contact allergy Reaction to soaps, detergents, perfumes, or clothing materials. • Mild liver related bile salt imbalance Rarely, altered bile flow can cause itching even without abnormal liver tests. • Vitamin deficiencies Vitamin D or B12 deficiency can contribute to skin problems. • Insulin resistance (early stage) Can exist even when sugars are currently normal. What you should do now • Avoid harsh soaps and perfumes • Use mild soap and moisturise daily • Keep the skin well hydrated • Ensure adequate water intake • Avoid scratching • Use loose cotton clothing What should be evaluated • Liver function tests if not done recently • Thyroid profile • Vitamin D and B12 levels • Fasting insulin or HbA1c if advised When to consult a doctor immediately • If itching becomes severe or generalized • If yellowing of eyes or skin appears • If there are persistent rashes or lesions • If symptoms do not improve with basic care In most cases, controlling fatty liver with weight management, diet correction, and physical activity leads to significant improvement in skin symptoms. For personalised one to one consultation and long term management, you can reach out to me directly on WhatsApp at 85271646 seven seven. A detailed consultation helps identify the exact cause and prevents recurrence. Wishing your mother good health. Dr. Romain Rajan General Physician