What causes itchy red rashes?
Patient: Hi. I have recently had blood work that showed a sed rate of 40. I have SLE and am currently experiencing a rash with red bumps and itchiness. Topical creams and antibiotic are not working. I had been swimming in an indoor swimming pool at the gym.Thank you Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would like to know more about your complaints like - where you have rash, did it develop after swimming, does it burn, die you develop such rash for the first time or this was a recurrence, which creams and antibiotics you have tried, which other medications you are currently taking for SLE or any other condition, etc.However, at present, I am replying you as per your given history:2. I would suggest you to apply a moisturizing lotion over the rash, especially immediately after bathing to retain moisture within the skin. 3. I would suggest you to take an antihistamine like hydroxyzine or cetirizine or leocetirizine for at least 1-2 weeks (depending upon response) for itching.4. Please do not scratch the itchy areas as scratching would aggravate itching.5. Please avoid exposure to sun while you have rash because some rashes in SLE can be sensitive to sunlight. You could apply sunscreen (SPF 15 minimum) and wear full covering clothes to protect from sunlight.6. If swimming aggravates itching and rash, please avoid swimming as long as you have rash. Many times disinfectants in swimming pool water are irritants and they can aggravate such rash.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.