[26F] With widespread itchy, thick patches for 2 months

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Eczema (Atopic Dermatitis): Given your history and family history of eczema, this is a likely cause. Eczema can cause red, brown, raised, dry, and flaky patches that are intensely itchy. It often worsens in the fall and winter due to dry air and can be triggered by heat, sweating, and fragrances.

  • Treatment: Eczema is typically managed with moisturizers, topical corticosteroids, and avoiding known triggers. In severe cases, systemic treatments like oral corticosteroids or immunosuppressants may be used.

• Psoriasis: This is another chronic skin condition that can cause red, raised, and flaky patches. Psoriasis can be triggered by stress, which might be relevant given your anxiety, depression, and PTSD.

  • Treatment: Psoriasis is usually treated with topical treatments, phototherapy, and systemic medications.

• Contact Dermatitis: This condition occurs when the skin reacts to an irritant or allergen. Although you haven't used new products recently, it's possible that prolonged exposure to certain substances could be causing your symptoms.

  • Treatment: Identifying and avoiding the irritant or allergen is key. Topical corticosteroids can help manage symptoms.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Moisturize Regularly: Use a thick, fragrance-free moisturizer multiple times a day to keep your skin hydrated.
2. Avoid Triggers: Try to avoid heat, sweating, and fragranced products as much as possible.
3. Use Gentle Skincare Products: Opt for mild, fragrance-free soaps and detergents.
4. Cool Compresses: Applying cool, damp cloths to the affected areas can help relieve itching.
5. Over-the-Counter Treatments: You can try over-the-counter hydrocortisone cream to reduce inflammation and itching.
6. Keep a Symptom Journal: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help identify patterns and triggers.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Itching or Pain: If the itching or pain becomes unbearable, it's important to see a healthcare provider.
• Signs of Infection: If you notice any oozing, crusting, or increased redness and warmth around the patches, this could indicate an infection.
• Worsening Symptoms: If your symptoms continue to worsen despite self-care measures, consult a healthcare provider.
• New Symptoms: If you develop new symptoms such as fever, chills, or swelling, seek medical attention promptly.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.