HCV Rash Management

Hepatitis C Rash Management

It seems like almost every patient on HCV treatment develops some type of skin problem. The most common skin problem is caused by ribavirin-the "RIBAVIRIN" rash. Other skin problems are generally not as serious but can be very annoying. Interferon can induce underlying autoimmune skin diseases such as psoriasis or lichen planus, so it is important that people consult with a medical professional or a dermatologist (skin specialist). It is even more important to see a specialist if there is any redness, swelling, accumulation of fluid or pus is noticed.

Interferon and ribavirin can cause dry skin, so it's not surprising that most people suffer from this type of side effect. The symptoms of dry skin can be mild dry flaky skin to severe skin irritation including bumps and blisters. The itching associated with a rash can be mildly annoying to so irritating that you feel like you want to jump out of your skin. Most often itching seems to be worse in the evening, which may interfere with sleep.

Generally, rashes are not particularly dangerous except in instances where they become infected from scratching. Try not to scratch skin and never use fingernails or sharp objects since this can lead to infection.This is especially important for people on therapy since interferon can lower the white blood cell count, which can lead to a greater chance of infection.

There are many steps one can take to help with preventing dry skin. Some common recommendations for preventing or combatting dry skin and itching include:
• Try rubbing, pressure or vibration instead of scratching
• Drink plenty of water or other clear fluids to keep your
entire body hydrated
• Apply moisturizer immediately after a shower or bath -
before drying off with a towel
• Apply moisturizer a least twice a day—Common types of
lotions include Vaseline Intensive Care Lotion,Aveeno Body
Lotion or petroleum type lotion.
• Use only non-perfumed, mild bath and personal products
• Avoid hot showers and baths
• Take an oatmeal bath to relieve the itching and help with
relaxation
• Try baking soda or bath oils for bathing
• Apply cold packs (wrapped in a towel) to the skin
• Wear loose fitting clothes made from natural fabrics that
breathe, if possible
• Protect your skin from the sun - wear sunscreen
• Protect your lips - use Chapstick with sunscreen
• Get plenty of rest
• Keep rooms ventilated and between 60 and 70 degrees

2004 Hepatitis C Support Project