Dealing with a persistent facial rash can be very frustrating, but you are taking all the right steps. Since your skin is sensitive and your IgE levels are elevated, allergies or eczema may play a role. The pending ANA and LE tests are helpful tools to rule out autoimmune conditions. Because you have used topical steroids and antibiotics before, it is important to avoid restarting them without your doctor's guidance, as steroids can sometimes worsen facial rashes over time. For now, stick to a very gentle, fragrance-free cleanser and moisturizer. Please share your test results with your dermatologist so they can create a safe, targeted treatment plan for you.

Please be reassured that ordinary skin allergies or hives generally do not harm your developing baby. Alaspan contains the generic antihistamine loratadine, which is widely studied and generally considered safe to use during pregnancy. However, because you are in your first trimester, it is always best to discuss any medication with your obstetrician before continuing. They can help confirm the safest plan for managing your hives and keep you both comfortable and safe.

It is common for fungal infections to recur if the treatment is stopped too early. You should consult your doctor before restarting, as the required duration depends on the infection site, typically ranging from 2 to 6 weeks. Your prescribed medications contain the active ingredients Loratadine, Terbinafine, and Itraconazole. You can safely switch to their generic versions, which have the exact same effectiveness, safety, and strength but at a much lower cost. Ask your pharmacist for generic Loratadine, Terbinafine, and Itraconazole. Please have your doctor re-evaluate the infection to ensure it is completely cleared this time.

Your symptoms suggest an allergic reaction, possibly triggered by dust or another environmental allergen. Itching of the hands and face, along with facial swelling, may occur in conditions such as allergic dermatitis, urticaria, or dust allergy. Antihistamines, such as loratidine, cetrizine, or fexofenadine, are commonly used to reduce itching and swelling, but should be taken as advised by a doctor. It is also important to reduce exposure to dust by keeping rooms clean, washing bedsheets regularly, wearing masks while cleaning, and avoiding known triggers. Applying a gentle moisturiser may help if the skin is dry or irritated. However, facial swelling should not be ignored, especially if it becomes severe or is associated with difficulty breathing, wheezing, throat tightness, or dizziness. These can be signs of a serious allergic reaction needing urgent medical attention. Avoid scratching the skin, as this can worsen irritation and lead to infection. If symptoms keep returning, a doctor may recommend allergy testing or further treatment depending on the exact cause.

Since your symptoms?including the stinging, leaking, and bleeding?are spreading despite a week of taking fluconazole, luliconazole, HHZOLE, and Alaspan, it is important to have this re-evaluated by your doctor. Sometimes, the delicate skin can develop a secondary bacterial infection or an allergic reaction to the topical treatments, which requires a change in medication. Please do not worry, but do schedule a follow-up appointment soon so your doctor can safely adjust your treatment plan and bring you some much-needed relief.

Alaspan Tablet (Loratadine) is suitable for relieving allergic reactions on the palms during weather changes and may help reduce itching. However, if the allergic reaction causes pain or severe skin changes, it is best to consult a doctor for proper evaluation and treatment.