What is the cause of a diffuse pruritic rash following an assisted abortion (Dilation and Curettage - D&C)?

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Differential Diagnosis for Diffuse Pruritic Rash Post Assisted Abortion

  • Single Most Likely Diagnosis
    • Urticaria: This is a common reaction that can occur due to the procedure itself, medications used during the procedure, or an allergic reaction to the materials used. The pruritic nature of the rash and its diffuse presentation make urticaria a plausible diagnosis.
  • Other Likely Diagnoses
    • Contact dermatitis: This could be due to an allergic reaction to the antiseptic solutions, latex, or other materials used during the procedure.
    • Drug rash: Many medications used in assisted abortion, such as antibiotics or pain relievers, can cause a drug rash.
    • Infection: Bacterial or viral infections can cause a rash, although these are less common and would typically be accompanied by other symptoms such as fever or discharge.
  • Do Not Miss Diagnoses
    • Septic abortion: Although rare with modern assisted abortion techniques, infection can lead to sepsis, which is life-threatening. A rash could be part of a systemic infection.
    • Anaphylaxis: A severe, life-threatening allergic reaction that can cause a rash, among other symptoms. Early recognition is crucial.
  • Rare Diagnoses
    • Serum sickness: A rare immune system reaction to certain medications or antiserum that can cause a rash, among other symptoms.
    • Erythema multiforme: A skin condition characterized by target lesions, which can be triggered by infections or medications.
    • Stevens-Johnson syndrome: A rare but serious disorder of the skin and mucous membranes, usually a reaction to medication or infection.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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