Tuesday, July 4, 2017

Poison Ivy and contact dermatitis

Another bout: June, 2017

My history of poison ivy. It was July, 2011, the nurse identified the first infection in triage, but I didn't get strong enough salve to eradicate it. The ointments got it if it was an small infection.

2012-01-31 Lyderm ointment
2013-09-08 Prednisone. Bad bout: back for more: 6 tabs for four days; 5 tabs 2 days; 3 tabs @ 2 days, 2 tabs @ 2 days; etc. (54 x 5mg=  270mg ttl)
2014–08–01 Prednisone, 5mgs/5 days, didn't work.
2014–08–05 Prednisone  Dosage: 8 tabs for three days; 6 tabs for three days; 4 tabs for three days, 3 tabs @ 3 days; etc. (63 x 5 mg = 315mg total) 
2015-08-19 Prednisone, 5mg. Take  8 tabs for two days; 6 tabs 2 days; 4 tabs for 2 days, 2 tabs @ 2 days (40 x 5mg = 200mg total)
2017-06-20 Betaderm ointment didn't work.
2017-01-01 Prednisone, 50 mgs  @ 7 days = 350mg. Feeling pretty woozy.

Treatment of Severe Poison Ivy: A Randomized, Controlled Trial of Long Versus Short Course Oral Prednisone . 2014 Dec; 6(6): 429–434.

Published online 2014 Sep 9. doi:  10.14740/jocmr1855w
PMCID: PMC4169084

Verdict is in... poison ivy. Put the citiot in the country and see what happens!

First bout in the summer: July, 2011.

poison ivy rash = contact dermatitis
It took two months to percolate in my system.
It spread where ever the blisters opened.
I used cremes to stop the itching, pain killers to sleep.
It spread from arm to arm, then to my stomach, up my arms, down my belly and so on.

The full story;

  • 3 ER visits, 
  • 2 GP visits, 
  • 1 dermatologist, 
  • total 6 doctors, 
  • 3 nurses, (the first one, triage nurse, said poison ivy, but no one listened!)
  • 1 student Phys. Assistant-Ben Affleck-look-alike to do the biopsy, 
  • 2 cremes, 
  • 4 pain Rx. 
The worst is over. But it took months to hibernate in my system.

Delightfully spreading ivy; poison ivy patch
I mistakenly used the same gloves to stack wood, a month after the plants had died and I had touched some to remove them.
Here are the healthy plants close up!

Lesson learned!
biopsy on my belly,
where it spread

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