Patient's question:
16 months, vaccinated with meningococcal vaccine last Thursday, this Tuesday, small red spots reappeared on the right foot, accompanied by high fever. High fever for a day, fever subsided, small red spots reappeared on both feet, more than before. Hello, is it a drug allergy...Doctor's answer:
For the diagnosis of drug rash, clinical diagnosis based on medical history remains the primary basis, supplemented by the presentation of skin rash and careful laboratory tests, while excluding the possibility of other diseases, to conduct a comprehensive evaluation and judgment.Guidelines:
(1) Identifying and removing the cause is the first step, which involves discontinuing all suspected offending drugs. It is crucial not to hesitate to stop medication when the early signs of a drug reaction appear.
(2) Supportive therapy should be provided to the patient, preventing adverse factors, with the aim of smoothly navigating the self-limiting course of the condition. This includes measures such as bed rest, a highly nutritious diet, maintaining a comfortable temperature environment, and preventing secondary infections.
(3) Enhancing metabolism may involve the use of laxatives or diuretics to facilitate the excretion of drugs from the body.
(4) Medication treatment should be tailored to the severity of the condition, employing different measures as needed.