unknown swelling and hives

	Asked by Unregistered (Male; 10; only thing he had was when he was just about two they caught a blockage in hhis tub that went from the bladder to the kidnety and they had to operate ) on Fri 26, Dec 2008 08:12am :
	my 10 year old started to swellin the hands and feet about a week ago then it itched and hurt then it went away and he broke out in hives he then had a cough which lead to his throat swelling (with no pain) just could not breathe. He now has the hives on his knees which itch (it was only on his hands and feet)is there anything that this could be other then virual?
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	Answer by Dr.Bhumika Aggarwal (doctor) on Sat 03, Jan 2009 07:24am: Hi, This could be eczema, allergic rash, folliculitis. You need to wash the areas several times with fresh water. Do not use any cosmetic products at the sites. Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene . Wear lose comfortable clothes. Wash all your linen and towels etc with a disinfectant solution. Anti-itch drugs, often antihistamine, may reduce the itch during a flare up of eczema, and the reduced scratching in turn reduces damage and irritation to the skin. For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone or desonide), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide). Let us know if you need any further information. It would be advisable to consult a skin specialist for the symptoms and a proper clinical examination. Let us know if you need any other information and post us on how he is doing. Regards.
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