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Help Needed From Doctors in Wazua, Diprofos
Impunity
#1 Posted : Monday, June 11, 2012 9:29:11 AM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
Sad Sad Sad

I have a she-cousin of mine who has been having a skin condition on her hands and neck regions and some other personal places for quite a while, kindu 5 years to be precise.

She has tried all the lotions and miti-ni-dawas with no success.

Early this year in January 2012, a colleague of her advised her to get some few jabs of Diprofos which she did.

Now 5 months down the line her face is completely distorted (for real, she looks like strangest), the hands are starting to swell too.
To add salt to injury, she now have shortness in breath, weak joints, becoming diabetic etc.

Her personal physician has told her he has no known antidote for the negative side effects and that all she can do is to wait and hope that all will be fine.

The 28 year old is greatly depressed and occasionally misses job.
Please help a sister

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jguru
#2 Posted : Monday, June 11, 2012 10:05:51 AM
Rank: Veteran


Joined: 10/25/2007
Posts: 1,574
Impunity wrote:
Sad Sad Sad

I have a she-cousin of mine who has been having a skin condition on her hands and neck regions and some other personal places for quite a while, kindu 5 years to be precise.

She has tried all the lotions and miti-ni-dawas with no success.

Early this year in January 2012, a colleague of her advised her to get some few jabs of Diprofos which she did.

Now 5 months down the line her face is completely distorted (for real, she looks like strangest), the hands are starting to swell too.
To add salt to injury, she now have shortness in breath, weak joints, becoming diabetic etc.

Her personal physician has told her he has no known antidote for the negative side effects and that all she can do is to wait and hope that all will be fine.

The 28 year old is greatly depressed and occasionally misses job.
Please help a sister



A colleague advised her to take injections? She has been on injectable steroids for 5 months? How frequently?

Diprophos is a trade name for betamethasone. Usually given in 7mg/ml intramuscular injections. It is a glucocorticoid (corticosteroid).

Is the skin condition psoriasis? Withdrawal of a systemic (injectable) steriod aggravates psoriasis. It is called the "rebound effect" of steroids.

Steroids are very toxic. That is why they are included in cancer chemotherapy regimes. I often cringe when I see chemists in town dispensing prednisone/prednisolone for common colds and flus over the counter, just like Actals and Panadols. Totally irresponsible.

Who's her dermatologist? She needs to arrange a visit. She also needs to have liver, kidney and various other blood tests.
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
kamundu
#3 Posted : Monday, June 11, 2012 10:47:09 AM
Rank: Member


Joined: 5/9/2011
Posts: 786
Location: Mashinani
That sounds like steroid withdrawal. I thought you should taper off injections (yaani reduce the dosages progressively) consult dermatologist. Could refer you to a friend
Peace in our Homeland.
Impunity
#4 Posted : Monday, June 11, 2012 11:29:25 AM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
kamundu wrote:
That sounds like steroid withdrawal. I thought you should taper off injections (yaani reduce the dosages progressively) consult dermatologist. Could refer you to a friend


Please refer me to your friend.
She claims that she only got two injections in January, then after kindu a month hivi the skin rashes disappeared.
Then 5 months later PAP!,the face is swollen and all hands plus the the mild diabetic condition.
Sad
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karagee karagee
#5 Posted : Monday, June 11, 2012 2:16:14 PM
Rank: New-farer


Joined: 3/29/2012
Posts: 16
Assuming you are in Nairobi, there is a very reliable dermatologist at Afya center I this his name is Dr. Monda or something. He might be able to help
Things may come to those who wait, but only the things left by those who hustle
jguru
#6 Posted : Monday, June 11, 2012 2:39:42 PM
Rank: Veteran


Joined: 10/25/2007
Posts: 1,574
Impunity wrote:
kamundu wrote:
That sounds like steroid withdrawal. I thought you should taper off injections (yaani reduce the dosages progressively) consult dermatologist. Could refer you to a friend


Please refer me to your friend.
She claims that she only got two injections in January, then after kindu a month hivi the skin rashes disappeared.
Then 5 months later PAP!,the face is swollen and all hands plus the the mild diabetic condition.
Sad


Dermatologists in Nairobi:

Dr Owili
Room 222, Aga Khan Doctors Plaza, Third Parklands Avenue, Nairobi

Dr Nyanjui
5th Floor, Room 5a, Upper Hill Medical Centre, Ralph Bunche Road, Nairobi

Dr Maimba
Suite No 3, KNH Doctors Plaza, Mbagathi Road, Nairobi

Dr Monda
1st Floor, Afya Centre, Tom Mboya Street, Nairobi

Dr Kamuri
Suite No 23, KNH Doctors Plaza, Mbagathi Road, Nairobi


All are renowned dermatologists of good standing. Take your pick.
Set out to correct the world's wrongs and you will most certainly wind up adding to them.
Impunity
#7 Posted : Monday, June 11, 2012 3:09:51 PM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
jguru wrote:
Impunity wrote:
kamundu wrote:
That sounds like steroid withdrawal. I thought you should taper off injections (yaani reduce the dosages progressively) consult dermatologist. Could refer you to a friend


Please refer me to your friend.
She claims that she only got two injections in January, then after kindu a month hivi the skin rashes disappeared.
Then 5 months later PAP!,the face is swollen and all hands plus the the mild diabetic condition.
Sad


Dermatologists in Nairobi:

Dr Owili
Room 222, Aga Khan Doctors Plaza, Third Parklands Avenue, Nairobi

Dr Nyanjui
5th Floor, Room 5a, Upper Hill Medical Centre, Ralph Bunche Road, Nairobi

Dr Maimba
Suite No 3, KNH Doctors Plaza, Mbagathi Road, Nairobi

Dr Monda
1st Floor, Afya Centre, Tom Mboya Street, Nairobi

Dr Kamuri
Suite No 23, KNH Doctors Plaza, Mbagathi Road, Nairobi


All are renowned dermatologists of good standing. Take your pick.


Thanks.
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Wendz
#8 Posted : Monday, June 11, 2012 3:37:55 PM
Rank: Elder


Joined: 6/19/2008
Posts: 4,268
And I think this should come with a warning because most of us are culprits..... please do not take medicines prescribed by friends without consulting your doctor, unless such friend is your doctor. However desperate, do not experience with your body or a body of someone who cant make a decision for themselves, like your children.
kamundu
#9 Posted : Monday, June 11, 2012 5:46:12 PM
Rank: Member


Joined: 5/9/2011
Posts: 786
Location: Mashinani
Dr kamuri 0722955526
Peace in our Homeland.
dnn
#10 Posted : Monday, June 11, 2012 11:05:53 PM
Rank: Member


Joined: 7/17/2006
Posts: 133
yap, it's steroidal based and though antiinfalmmatory (partly why it was initially given) constant review is important especially for 'drug interactions'(any other meds used) and and it's own reactions/side effects...at times there benefit risk balancing but Time bound. Again constant review when on meds...not a one off administration n dispatch
Impunity
#11 Posted : Tuesday, June 12, 2012 9:15:10 AM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
Wendz wrote:
And I think this should come with a warning because most of us are culprits..... please do not take medicines prescribed by friends without consulting your doctor, unless such friend is your doctor. However desperate, do not experience with your body or a body of someone who cant make a decision for themselves, like your children.


The pain is that the rashes are all gone and the face is smooth but now swollen and looking worse than was with the rashes.
Some small rashes are better and not worth the pain.
Portfolio: Sold
You know you've made it when you get a parking space for your yatcht.

dnn
#12 Posted : Tuesday, June 12, 2012 9:57:35 AM
Rank: Member


Joined: 7/17/2006
Posts: 133
dnn wrote:
yap, it's steroidal based and though antiinfalmmatory (partly why it was initially given) constant review is important especially for 'drug interactions'(any other meds used) and and it's own reactions/side effects...at times there benefit risk balancing but Time bound. Again constant review when on meds...not a one off administration n dispatch



@ Impunity

Rashes gone from the anti inflammatory effects but swollen due to FLUID retention properties of these agents
Impunity
#13 Posted : Tuesday, June 12, 2012 10:21:31 AM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
dnn wrote:
dnn wrote:
yap, it's steroidal based and though antiinfalmmatory (partly why it was initially given) constant review is important especially for 'drug interactions'(any other meds used) and and it's own reactions/side effects...at times there benefit risk balancing but Time bound. Again constant review when on meds...not a one off administration n dispatch



@ Impunity

Rashes gone from the anti inflammatory effects but swollen due to FLUID retention properties of these agents


Ladies and their unwarranted quest for beauty!!!

Pray Pray Pray Pray
Portfolio: Sold
You know you've made it when you get a parking space for your yatcht.

kamundu
#14 Posted : Tuesday, June 12, 2012 6:51:58 PM
Rank: Member


Joined: 5/9/2011
Posts: 786
Location: Mashinani
Also see a physician for possible systemic complications
Peace in our Homeland.
metabolist
#15 Posted : Thursday, June 14, 2012 9:10:33 AM
Rank: New-farer


Joined: 3/13/2010
Posts: 32
Location: UK
Apart from the skin condition which needs to be properly evaluated by a dermatologist, the current problems - facies, diabetes, skin fragility etc are recognised features of glucocorticoid excess, in this case the injections. She may have sustained some damage to her pituitary - adrenal axis and therefore needs urgent evaluation by an endocrinologist.
Elder
#16 Posted : Thursday, June 14, 2012 9:19:52 AM
Rank: Elder


Joined: 9/7/2010
Posts: 2,148
Location: elderville
metabolist wrote:
Apart from the skin condition which needs to be properly evaluated by a dermatologist, the current problems - facies, diabetes, skin fragility etc are recognised features of glucocorticoid excess, in this case the injections. She may have sustained some damage to her pituitary - adrenal axis and therefore needs urgent evaluation by an endocrinologist.

What is that in English?
He who can express in words the ardour of his love, has but little love to express. - Petrach, Son. (That men by various ways arrive at the same end. - Montaigne, The Essays of.)
Impunity
#17 Posted : Thursday, June 14, 2012 9:57:38 AM
Rank: Elder


Joined: 3/2/2009
Posts: 26,328
Location: Masada
metabolist wrote:
Apart from the skin condition which needs to be properly evaluated by a dermatologist, the current problems - facies, diabetes, skin fragility etc are recognised features of glucocorticoid excess, in this case the injections. She may have sustained some damage to her pituitary - adrenal axis and therefore needs urgent evaluation by an endocrinologist.


Where can we meet doctor @metabolist?
Portfolio: Sold
You know you've made it when you get a parking space for your yatcht.

Ms Mkenya
#18 Posted : Thursday, June 14, 2012 1:38:53 PM
Rank: Veteran


Joined: 5/13/2010
Posts: 869
Location: Nairobi
Guys, it may cost a little more than normal but please get into a habit of seeing a proper doctor.
These 'remedies' do not work most of the time.
....above all, to stand.
metabolist
#19 Posted : Wednesday, June 27, 2012 8:30:12 AM
Rank: New-farer


Joined: 3/13/2010
Posts: 32
Location: UK
Impunity wrote:
metabolist wrote:
Apart from the skin condition which needs to be properly evaluated by a dermatologist, the current problems - facies, diabetes, skin fragility etc are recognised features of glucocorticoid excess, in this case the injections. She may have sustained some damage to her pituitary - adrenal axis and therefore needs urgent evaluation by an endocrinologist.


Where can we meet doctor @metabolist?


I'm based in Leeds. Dr. Eva Njenga is a reputable endocrinologist in Nairobi who could be consulted.
kingfisher
#20 Posted : Wednesday, June 27, 2012 10:05:58 AM
Rank: Elder


Joined: 4/9/2008
Posts: 2,824
so many doctors!! some all the way from Leeds.... i love wazua.

but surely cant they speak some english here???

endocrinologist, glucocorticoid excess, adrenal axis, drug interactions, betamethasone, intramuscular injections, corticosteroid, etc etc.

surely guys, do you want me to spend the rest of the day on google?
When I have money, I get rid of it quickly, lest it find a way into my heart.
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