One thing that you do not need to worry about is passing the rash on. Please call your dermatologist or primary care M.D. Please be aware that if the rash is only on one side of your body, and is limited to one arm, leg or part of your trunk, particularly if it has a burning or painful sensation, you may have shingles and not poison ivy. If the rash is extensive or unusually severe, systemic steroids like prednisone may be needed, however, there are potential side effects to these oral medications. I often prescribe patients topical steroids stronger than the ones available over-the-counter to make them more comfortable and help speed healing. If any of these develop, you should definitely schedule an appointment to see your doctor. An uncommon complication of poison ivy is an infection, which is usually accompanied by fever and pus, pain, or warmth of the affected skin. You need to see a physician if the itch is severe, continues for more than a few weeks, spreads over most of the body, or is associated with swelling of the eyes or face. Serious reactions, however, require treatment. 1% hydrocortisone cream 2-3 times per day improves mild itch. Photodynamic Therapy for Actinic KeratosesĪntihistamines such as Zyrtec and Allegra help with symptom relief and usually do not cause drowsiness.
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