I just spoke with a former client who gave me permission to post and would 
appreciate any insights regarding her problem.  She told me about 2 mos ago, she 
developed a rash on her belly that has since spread to her extremities and 
chest, including underneath and to the outer aspects of her breasts (which she 
described as not really raised, no drainage nor pustules, just red and dry 
feeling; originally she said they felt more hive-like but that changed over time 
to flat, redness).    According to her it feels internal, as if this is the 
source, not a contact dermatitis, not what she's eating, but perhaps hormonal.  
She has seen her endocinologist who felt it was not hormonal which surprised 
her.  Her baby is five months, exclusively breastfed, and asymptomatic for any 
rashes.  

Mom is very health conscious, has a healthy diet, takes some supplements 
including lecithin occasionally for pluggged ducts.  Diet and supplements (mainly 
vitamins) have not changed.  Of interest, when she scratches one area of rash, 
say her stomach, she feels intense itching in all other areas of her 
rash;nerve involvement seems possible to me. We both thought of shingles but there is 
no pain, other than itching. I also thought of PUPPS but thought this only 
occurs in pregnancy.

Any ideas or suggestions?  I informed her of homeopathics she could look into 
and referred her to a naturopath.  Thank you in advance.

Barbara Latterner, BSN, RN, IBCLC

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