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Persistent rash problems-please help!

Posted: Jun 3, 2011

Hi everyone-I have a really annoying medical condition and am wondering if anyone has had the same thing.

I am 54, 5 years of menopause under my belt. I have pretty much stopped with the hot flashes, insomnia and extreme mood swings (hubby is happy). Roughly 18 months ago I started deveoping random areas with hives controlled by antihistamines. A year ago I developed vulvodynia (so painful!) and started using small doses of premarin vaginal cream twice a week. It successfully kept it under control and my doctor thought I might have to use it until menopause was over.

Last fall I noticed a red rash developing on the lower portion of the front of my neck spreading downward in a "V" pattern just above my cleavage. It took a few weeks, but it got redder and hotter, and then my neck broke out like crazy in hives and I wound up in the ER. At this same time for weeks my body would be cold but my hairline was always sweaty, and it didn't matter what the temperature was. My doctor thought I needed to take the small dose of Premarin pills and quit the cream. Within 4 days I was wheezing and the rash was out of control. I stopped the pills and it took about 10 days to wind down to its original state of redness.

I would have temporary flare-ups and be stuck on antihistamines untiil it would subside. My doctor thinks I might be having a reaction to the estrogens in soy. I have been diligent about removing soy from my diet (easier than I thought it would be) and have noticed some improvement, however, it still gets a little out of control on its own. I have had a ton of labs the last 6 months showing my thryoid is fine, hormones are normal for my menopausal state, lipids, cbc, everything OK.

I have had no soy anything for a week now, and it is starting to flare up again. I get a horribly itchy neck and jawline for a day or two before the rash kicks into high gear. Has anyone lived through this or heard about it, and can you give me some info on what to do? Nothing I buy OTC or the pharmaceutical steroid creams are helping the rash or itch, and it makes we crazy, not to mention I can't hide it with clothing as the heat generated sends it off the map. Anything you can share with me would be greatly appreciated, sorry this is so long...

;

Nerves? - Old Lady

[ In Reply To ..]
Sometimes people don't like to think about it, but nerves (as in anxiety-type) can cause all sorts of skin issues. Ask you doc if you could try a mild tranquilzer for a while. If it helps, that may be your answer, then you could decide how to proceed from there.

Itch - SS

[ In Reply To ..]
Miliaria?

Vulvodynia can be treated with an antidepressant.

Eighteen months ago, do you recall being bitten by an insect? Did you do/eat/go someplace not routine?

Reaction to the HRT - th

[ In Reply To ..]
It does sound like a typical reaction to the HRT.

Have you seen an allergist? The fact - that you were wheezing

[ In Reply To ..]
along with the rash would probably lead me to want to see an allergist. They test for all kinds of things environmental, foods, etc. They also order labs a lot different than a PCP. I was a child that would just hive up for no reason, and today I am on allergy shots. It is genetic, and my dad will just hive up out of nowhere, but of course, he hasn't been to the allergist about it.

Thank you for your responses! - The Analog Kid

[ In Reply To ..]
To everyone who replied-thank you so much! I have another appointment with my doctor in July, and if it hasn't gotten better she did say she would refer me to an allergist. I have been off of all HRT for awhile, and luckily the vulvodynia has subsided for now.

I will certaintly talk to the doctor about the nerves issue, I do suffer from anxiety on occasion. Last summer I was bitten by a spider on my leg, and it swelled up so badly and made me feverish. I wound up in the hospital and on a superbug-fighting type of abx. The ER doctor said it looked like possibly a black widow or wolf spider bite. I NEVER would have put that together with my rash, but I will certaintly bring it up at my next visit. Could this create a chronic problem, and if so, will it eventually leave my system? Guess what I'll be researching today!

Again, thank you everyone for your suggestions, I appreciate them all. If I ever get a concrete answer I will post it. Thanks everyone!

Yeast overgrowth triggered by HRT, ABX - probably allergy

[ In Reply To ..]
to fermented foods (soy, vinegars, aged cheese, yogurt). Steroids do nothing.

PS - not talking about vaginal yeast - saa

[ In Reply To ..]
but systemic, in gut. Skin problems generally reflect a nutritional deficiency of some type. Yeast would interfere with absorption of nutrients and serotonin processing which occurs mostly in gut.

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