[22F] Experiencing widespread itching and temperature dysregulation

Patient Description

A 22-year-old female has been experiencing unrelieved itching across her entire body, most severely on her legs and arms, for a couple of months, with symptoms worsening and spreading. Additionally, for the past two days, she has had difficulty regulating her body temperature, alternating between shivering and overheating. She also reports fatigue, an elevated resting heart rate, and slight weight loss, but no changes in bowel habits. She feels dehydrated and has a family history of autoimmune conditions, including hyperthyroidism, celiac disease, and ulcerative colitis. The patient has no known pre-existing conditions or chronic illnesses and is currently on birth control. She has allergies to Cipro and Bactrim, which cause hives.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. Symptoms can include increased heart rate, trouble regulating body temperature, weight loss, and itchiness. Given your family history of hyperthyroidism, this is a possibility.

    • Treatment typically involves medication to regulate thyroid hormone levels.
  • Dermatological Conditions: There are many skin conditions that could cause widespread itching and a rash, such as eczema or psoriasis.

    • Treatment typically involves topical creams or ointments, and sometimes oral medications.
  • Allergic Reaction: Given your history of allergies, it's possible that you're having an allergic reaction to something. However, this would typically cause symptoms to appear suddenly rather than over a couple of months.

    • Treatment typically involves avoiding the allergen and taking antihistamines.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

  1. Schedule an appointment with your doctor as soon as possible. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.
  2. In the meantime, try to keep your skin moisturized and avoid scratching as much as possible to prevent further irritation.
  3. Stay hydrated and try to rest as much as possible to help with your fatigue and dehydration.
  4. Avoid any known allergens and monitor if your symptoms improve.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms
  • You experience severe abdominal pain or vomiting
  • You have difficulty breathing or swallowing
  • You experience severe swelling, particularly of your face or throat

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include increased heart rate, weight loss, trouble regulating body temperature, fatigue, and sometimes itching. It's important to consult a doctor for a proper diagnosis.


How can I manage widespread itching at home before seeing a doctor?

To manage widespread itching at home, keep your skin moisturized, avoid hot showers, wear loose-fitting clothing, and try over-the-counter antihistamines. However, it's crucial to see a doctor for a proper diagnosis and treatment.


Could birth control pills affect my symptoms or condition?

Birth control pills can sometimes affect hormone levels, which might influence symptoms related to conditions like hyperthyroidism. It's best to discuss any concerns with your healthcare provider.


What should I do if I suspect an allergic reaction?

If you suspect an allergic reaction, avoid the suspected allergen, take an antihistamine if you can, and seek medical attention if symptoms are severe or include difficulty breathing or swelling of the face or throat.


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