[56F] With painful, swollen rash on calf

Patient Description

A 56-year-old female reports having a painful, raised, red rash on the outer side of her calf for about a month or slightly longer. The rash is accompanied by significant swelling and pain. The patient is unsure if there have been any changes in the size, shape, or color of the rash since it first appeared. No other symptoms are reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Cellulitis: This is a common bacterial skin infection that causes redness, swelling, and pain in the affected area. It often occurs on the legs and can become serious if not treated promptly.

    • Treatment: Typically involves antibiotics prescribed by a doctor. Over-the-counter pain relievers can help manage pain and swelling.
  • Contact Dermatitis: This is an inflammatory skin condition caused by direct contact with an irritant or allergen. It can cause redness, swelling, and pain.

    • Treatment: Identifying and avoiding the irritant or allergen is crucial. Topical corticosteroids and antihistamines can help reduce inflammation and itching.
  • Venous Insufficiency: This condition occurs when the veins in your legs have trouble sending blood back to your heart, leading to swelling and skin changes.

    • Treatment: Compression stockings, elevating the legs, and regular exercise can help manage symptoms. In some cases, medical procedures may be necessary.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Keep the Area Clean: Gently wash the affected area with mild soap and water to prevent infection.
  2. Elevate Your Leg: Elevating your leg can help reduce swelling.
  3. Apply a Cool Compress: A cool, damp cloth can help soothe the pain and reduce swelling.
  4. Avoid Irritants: If you suspect contact dermatitis, try to identify and avoid any potential irritants or allergens.
  5. Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen can help manage pain and swelling.
  6. Use MDandMe: Journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Fever or Chills: These could indicate a more serious infection.
  • Rapidly Spreading Redness: If the redness is spreading quickly, it could be a sign of a severe infection.
  • Severe Pain: If the pain becomes unbearable, seek medical help immediately.
  • Signs of an Allergic Reaction: Such as difficulty breathing, swelling of the face or lips, or hives.

Remember, while this advice can help you manage your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common symptoms of cellulitis?

Common symptoms of cellulitis include redness, swelling, warmth, and pain in the affected area, often accompanied by fever and chills. The skin may also feel tight and tender.


How can I differentiate between contact dermatitis and cellulitis?

Cellulitis typically presents with more severe symptoms such as fever, chills, and rapidly spreading redness, whereas contact dermatitis is usually associated with itching and occurs after exposure to an irritant or allergen. A healthcare professional can provide a definitive diagnosis.


What lifestyle changes can help manage venous insufficiency?

Lifestyle changes that can help manage venous insufficiency include wearing compression stockings, elevating the legs when sitting or lying down, engaging in regular physical activity, and maintaining a healthy weight.


When should I seek medical attention for a rash?

You should seek medical attention for a rash if you experience fever or chills, rapidly spreading redness, severe pain, or signs of an allergic reaction such as difficulty breathing or swelling of the face or lips.


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