•A 10 y/o boy is brought by his mother for extensive rash on his lower extremities that started one day ago and has been worsening. There is no history of fever . The family just returned four days ago from a camping trip and the mother does not recall any exposure to ticks except that the boy stepped in to a bush while walking downhill. On examination, there is extensive erythema along with vesicles and bullae on the front and the back of bilateral lower extremities up until the level of the knees. The upper portion of the lower extremities is unaffected. The rest of the physical examination is normal. The best treatment for the management of this child’s condition is : •
A. Topical triamcinolone •
B. Prednisone orally •
C. Ceftriaxone intra-muscular •
D. Diphenhydramine •
E. Observation
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b
B. Prednisone orally ….. Poison Ivy
b
b
A
Can you please comment on this question, Dr. Archer?
A
A
Option B prednisone is recommended for more extensive involvement.
B
the leg below knee complete involve so oral is good than topical I think
B
c
D_diphenhydramine- benadryl
B
If the rash is widespread or results in a large number of blisters, prescribe an oral corticosteroid, such as prednisone
Dr. Archer would you please comment on this question. Thanks
Prednisolone orally B.
The initial treatment is prevention, cleaning it with alchol and washing it with water but for sever cases you give oral predinisone.
B
b
AA -topical triamcilone
B, treatment of poison ivy dermatitis.
B
B. Oral Prednisone; systemic steroids for severe allergic dermatitits
oral prednisolone