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I have been experiencing brown blotches all over my hips, stomach, thighs, buttocks, and now my breasts. They are not open wounds, they do not itch. They are like some kind of fungus. I have tried everything and now have reverted to using a steroidal cream. (Which is what my family Dr. gave me). Nothing is working, it is spreading all over my body. It comes as a small brown blotch, and as it goes away, it remains there very lightly. Some of them are sort of crusty. They do not appear to be red or round in circular shape. Various shapes and sizes they are popping out. I need to get rid of this before it spreads to my kneck or face or arms and legs. Please email me directly I don't know what to do.
In Reply to: DR. HELP ME PLEASE! posted by ivj3pa on June 09, 2001 at 14:16:01:
'....it is spreading all over my body. It comes as a small brown blotch, and as it goes away, it remains there very lightly....:
It is caused by pesticides and is very poorly known by physicians.
You can send skin biopsy to lab to check for T-Cells toxicity.
Did you eate pinaples or were exposed to any form of pesticides?
Are patches up to 3/4"?
The condition looks like "leopard" brownish and grayish patches with like readish line around perimeter when active?
The condition was first diagnosed several years ago in South America.
One case in 1994 was treated in Hawaii.
Treatment:
Westcort topical cream, or Triamcinolone acetonide 0.1% USP, rub 6 times a day
I forgot the exact name of it ... right now .... it is something like lichenoids dermatitis perstans.
In Reply to: Re: DR. HELP ME PLEASE! posted by MAI on June 09, 2001 at 20:58:41:
nmi
In Reply to: DR. HELP ME PLEASE! posted by ivj3pa on June 09, 2001 at 14:16:01:
Hi, ivj3pa.
This is most likely pitiriasis rosea and is a viral infection of the skin that there is no treatment for. It will go away by itself in about 6 weeks. If I am right, it will never get to your face! You need a better family doctor!
You can reassure yourself by getting a color atlas of dermatology from your reference section of the public library and looking up this name.
Let us know what happens.
Walt
In Reply to: Re: DR. HELP ME PLEASE! posted by MAI on June 09, 2001 at 20:58:41:
When I lived in Hawaii 1979-1983.I went to the doctor for something minor,as I was leaveing his office he looked at my shoulder and arm ,he said to me I will give you something to treat that,he then exaimed my skin.I thought it was a fadeing sun tan,but I had these brown patchesthat would not go away,they would fade and get light,but they just kept on getting bigger...He called it hali ROT.HE said white people got it often from the water there at one of there beaches...Anyawy the cream that he gave me cleared it right up.....
In Reply to: Re: DR. HELP ME PLEASE! posted by ELSIE on June 12, 2001 at 12:13:09:
So Introduction and Background
Due to the seriousness of pesticide and heavy metal poisoning and the lack of understanding of the magnitude of the problem in Hawai‘i, the Department of Health (DOH) has made them reportable conditions.
Physicians and laboratory directors are required to report cases or suspected cases of pesticide or heavy metal poisoning. Many states have already enacted specific laws and regulations for the reporting of environmental illness and injury. However, reporting systems in many states have met with only limited success. DOH recognizes that successful control of environmentally related conditions depends on two factors: recognition and diagnosis of cases by health care workers, and the implementation of surveillance, prevention, and control programs.
In order to meet these needs, the surveillance project will be responsible for:
maintaining statewide surveillance data;
managing the reported cases, including followup studies, if necessary; and
developing and coordinating related surveillance activities including physician education seminars, information dissemination, and technical consultation.
It is expected that this will heighten physician awareness, increase present knowledge, and encourage the reporting of pesticide and heavy metal poisoning.
Reporting Procedures
Health care providers are required to report to the DOH within one day any case of pesticide or heavy metal poisoning as specified in Table 1. For reporting purposes, call 586-4249 on O‘ahu, or 1-800-468-4644 ext 4249 from the Neighbor Islands.
For reporting purposes, pesticide and heavy metal poisoning include acute poisoning or any subacute illness caused by, or believed to be caused by, these toxic agents. Upon receipt of a verbal report, the DOH will send a reporting form to the physician to record relevant information. Reports provided to the DOH about persons diagnosed with an environmentally related illness or injury shall be confidential, as specified in HRS §321-315.
Instructions for Handling of Biological Pesticides and Analysis of Blood/Urine Samples
In addition to any routine medical tests to be performed in the work up of a case, there are several laboratory tests specific for suspected cases of pesticide poisoning.
Blood and urine specimens can be analyzed for the presence of pesticide residue. Confirmation of acute organophosphate exposure is possible by measurement of plasma (pseudo-cholinesterase) and red blood cell (acetylcholinesterase) levels. To be the most reliable, specimens should be collected as soon as possible after exposure and prior to giving any antidotal therapy, if feasible.
Blood
Given the usual uncertainty about the specifics of chemical exposure, it is best to draw several tubes of blood which may be used for analysis, if needed.
Draw one or two (5-10ml) samples into heparinized (green top) tubes. This sample may be used for cholinesterase testing, if appropriate for the suspected pesticide exposure. Consult with the laboratory performing the analysis for specific instructions, as methods vary.
Draw one sample (5-10ml) into glass tube (red top), with no heparin or preservative. Remove rubberized stopper and cover it with foil, and replace stopper. Tape down stopper. This sample can then be used for analysis of pesticide residues.
Samples which can be delivered to a lab within 24 hours of drawing should be kept refrigerated. If delivery time will exceed 24 hours, samples should be frozen.
Urine
Samples may be collected in a plastic container unless poisoning by a chlorinated compound is suspected, in which case a glass container is preferable. Do not use any preservative. Samples should be handled and shipped in the same manner as blood.
Other biological media (gavage, stool, adipose tissue)
Use glass containers and freeze samples; ship frozen and package with dry ice or blue ice packs.
Non-biological samples
Sometimes it is necessary to analyze a drenched piece of clothing to confirm the identity of a pesticide after an accidental exposure. Samples of material should be double bagged in polyethylene bags and packaged separately from other samples for shipment and analysis. If a sample of a pesticide product is sent for analysis, it should be in a glass container, clearly labeled, and sent separately to avoid cross contamination of biological samples.
In Reply to: Re: DR. HELP ME PLEASE! posted by MAI on June 12, 2001 at 15:25:05:
Thanks, MAI!
Walt
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