Food Allergy or Eczema: Your Skin Reaction - Dermatology

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Is it a food allergy or eczema?


Hello, Doctor! I have allergic rhinitis but no history of skin allergies.
Recently, after drinking red quinoa tea, I developed an allergic reaction on my skin, with rashes appearing on my arms and neck.
The rashes are the same color as my skin, so they are not very noticeable, and I also feel a tingling sensation on my face.
On the first day of the rashes, there was no itching, but by the second day, the affected areas started to itch.
Some people have suggested it might be eczema, but I am wearing short sleeves.
Is this a food allergy or eczema? The doctor prescribed me the following medications; do I really need to take them? Is it possible for it to resolve on its own without medication? Dexamethasone 0.5 mg tablet and Desloratadine 5 mg film-coated tablet.

Niming, 40~49 year old female. Ask Date: 2017/04/21

Dr. Wu Yuxin reply Dermatology


You should consult your attending physician about this issue, as they are most familiar with your medical condition.

Reply Date: 2017/04/21

More Info


When it comes to skin reactions such as rashes or itching, distinguishing between food allergies and conditions like eczema can be challenging. Based on your description, it seems you are experiencing a skin reaction after consuming red quinoa tea, which has led to rashes on your arms and neck, along with a tingling sensation on your face. The fact that the rash is not itchy initially but becomes itchy the next day is an important detail that can help in understanding your condition.

Food allergies typically manifest as immediate reactions, often within minutes to a few hours after exposure to the allergen. Symptoms can include hives, swelling, and gastrointestinal issues, among others. In contrast, eczema (or atopic dermatitis) is a chronic condition characterized by dry, itchy, and inflamed skin. It can be triggered by various factors, including allergens, irritants, and even stress. The delayed onset of itching you described could suggest an allergic reaction, but it could also be a flare-up of eczema, especially if you have a history of atopic conditions like allergic rhinitis.

Given that you have a history of allergic rhinitis, it is plausible that you may have a predisposition to other allergic reactions, including food allergies. The fact that the rash is not very pronounced and matches your skin tone could indicate a mild reaction, but it is essential to monitor the symptoms closely. If the rash worsens, or if you experience additional symptoms such as difficulty breathing, swelling of the face or throat, or gastrointestinal distress, you should seek immediate medical attention.

Regarding the medications prescribed to you—Dexamethasone and Desloratadine—these serve different purposes. Dexamethasone is a corticosteroid that can help reduce inflammation and suppress the immune response, which may be beneficial if you are experiencing significant inflammation or discomfort. Desloratadine is an antihistamine that can help alleviate itching and reduce allergic reactions.
While it's understandable to want to avoid medication, especially if the symptoms seem mild, it is crucial to follow your doctor's advice. If your doctor prescribed these medications, it is likely because they believe the benefits outweigh any potential risks. Stopping medication prematurely could lead to a resurgence of symptoms or worsen your condition.
In terms of managing your skin reaction, here are some additional recommendations:
1. Avoid Known Triggers: If you suspect that red quinoa tea is the cause of your reaction, it would be wise to avoid it in the future. Keeping a food diary can help identify other potential triggers.

2. Moisturize: Keeping your skin well-hydrated can help alleviate dryness and irritation. Use fragrance-free moisturizers to avoid further irritation.

3. Cool Compresses: Applying a cool, damp cloth to the affected areas can help soothe itching and reduce inflammation.

4. Avoid Scratching: Scratching can worsen the rash and lead to secondary infections. Keeping your nails short and wearing loose clothing can help minimize irritation.

5. Consult a Dermatologist: If your symptoms persist or worsen, consider seeing a dermatologist for a thorough evaluation. They may recommend allergy testing to determine if you have specific food allergies or other sensitivities.

In conclusion, while it is possible that you are experiencing a food allergy, it could also be a flare-up of eczema or another skin condition. Following your doctor's recommendations regarding medication is essential, and monitoring your symptoms closely will help you manage your skin health effectively. If you have any concerns about the medications or your symptoms, do not hesitate to reach out to your healthcare provider for further guidance.

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