How is autoimmune progesterone dermatitis diagnosed?Skin, Hair & Nails
I'm a 21 year old female and have been suffering from cold sores and rashes every time I get my period, for a couple of months now. The rashes appear as red itchy spots on my arm. In addition to that, I experience tingling and swelling on my upper eyelids. I suspect that I may have autoimmune progesterone dermatitis. Please advise.
Autommine progesterone dermatitis is a very rare diagnosis. It presents with rashes that are usually cyclical and varies with the mentrual cycle as progesterone levels rise. It can present with hives or wheal and even red patches. Oral sores have been reported. It is believed to be due to the body's autoimmune response to the rising progesterone levels.
The diagnosis is made by a careful history and examination to determine the relationship of the rashes with the menstrual cycle. A prick test to progesterone can be performed and challenging with oral or intramuscular progesterone can be done to provoke or induce the rash.
It is best for to see your doctor or dermatologist and raise your concerns so that a proper assessment can carried out.
Dr Colin Theng
MBBS, MRCP, MMED (Fam. Med), FAMS
Mount Alvernia Medical Centre D
820 Thomson Road #07-61
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