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[29F] With persistent itchy skin patches and respiratory symptoms

Patient Description

A 29-year-old female reports experiencing persistent, super itchy patches of skin that began on the bottom of her feet and have spread to her fingers and hands over the past 5 to 6 months. The itching is constant and intensifies despite attempts at relief with itch creams, lotions, and Epsom salt soaks. Recently, she developed a severe cough with thick yellow mucus and chest pain. There have been no recent changes in products, medications, or travel. She has a history of frequent cysts, severe acne, and multiple MRSA infections since age 13. She had her fallopian tubes removed in 2021 and polyps removed from the vaginal area in 2017. No current medications are being taken. There is a family history of eczema, asthma, and allergies.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different conditions:

  1. Eczema or Contact Dermatitis: Given your family history of eczema, the itchy patches on your skin might be related to this condition. Eczema can cause persistent itching and can be triggered by various factors, including stress or allergens.

  2. Psoriasis: This is another skin condition that can cause itchy, scaly patches. It often affects the hands and feet.

  3. Infection or Allergic Reaction: The severe cough with yellow mucus might suggest a respiratory infection, possibly bacterial, which could be unrelated to the skin issues.

  4. Unifying Diagnosis: An underlying immune or inflammatory condition could potentially link your skin and respiratory symptoms, but this would require further evaluation by a healthcare provider.

What you can do

For Itchy Skin:

  • Moisturize Regularly: Use a fragrance-free moisturizer to keep your skin hydrated.
  • Avoid Irritants: Try to identify and avoid any potential irritants, such as certain soaps or fabrics.
  • Cool Compresses: Apply cool, damp cloths to the itchy areas to soothe the skin.
  • MDandMe Journal: Use the journal to track your symptoms and any potential triggers.

For Cough and Chest Pain:

  • Stay Hydrated: Drink plenty of fluids to help thin mucus.
  • Rest: Ensure you get plenty of rest to help your body recover.
  • Seek Medical Attention: If your cough persists or worsens, see a healthcare provider for evaluation.

What you should look out for

  • Worsening Symptoms: If the itching becomes unbearable or spreads, or if your cough and chest pain worsen, seek medical care.
  • Signs of Infection: Look out for fever, increased mucus production, or difficulty breathing, which may require prompt medical attention.
  • Skin Changes: If you notice any new rashes, blisters, or signs of infection on your skin, consult a healthcare provider.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines

People Also Ask

What are the common triggers for eczema and how can they be avoided?

Common triggers for eczema include stress, allergens (like pollen, pet dander, or dust mites), certain soaps and detergents, and changes in weather. To avoid these triggers, try to identify specific allergens or irritants that affect you and minimize exposure. Using hypoallergenic products and maintaining a consistent skincare routine can also help.

How can I differentiate between eczema and psoriasis on my skin?

Eczema typically presents as red, inflamed, and itchy patches that may ooze or crust, while psoriasis often appears as well-defined, thick, scaly plaques that can be silvery in color. Psoriasis may also cause joint pain. A dermatologist can provide a definitive diagnosis through examination and possibly a skin biopsy.

What are the signs that a cough with yellow mucus might indicate a bacterial infection?

A cough with yellow mucus can indicate a bacterial infection if accompanied by symptoms like fever, chills, chest pain, or difficulty breathing. Persistent or worsening symptoms should prompt a visit to a healthcare provider for evaluation and possible treatment with antibiotics.

How can an underlying immune or inflammatory condition affect both skin and respiratory symptoms?

An underlying immune or inflammatory condition can cause both skin and respiratory symptoms by affecting the body's immune response. Conditions like autoimmune diseases or systemic inflammatory disorders can lead to widespread inflammation, impacting multiple organ systems. A healthcare provider can conduct tests to determine if such a condition is present.

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