[30M] With widespread, non-raised red blotches and skin irritation

Patient Description

A 30-year-old male presents with widespread, non-raised red blotches that itch, sting at times, and begin to scab after several days. The rash is irregularly shaped and appears all over the body without a specific pattern. The condition has been persistent for two weeks, and the blotches seem to be spreading randomly across the body. The patient has attempted to use moisturizer, which has not provided relief. There have been no recent changes in diet, detergent, or soap, and no known contact with others experiencing similar symptoms. Additionally, the patient has observed round white marks bordered in red and scratches in areas that have not been physically scratched by the patient.

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Arora's Assessment

What might be happening

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

  • Eczema (Atopic Dermatitis): A condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever.

    • Treatment typically involves hydrating the skin and using topical steroids to reduce inflammation.
  • Psoriasis: A skin disease that causes red, itchy scaly patches, most commonly on the knees, elbows, trunk and scalp. Psoriasis is a chronic disease that often comes and goes.

    • Treatment typically involves topical treatments, light therapy, and systemic medications.
  • Dermatitis: Inflammation of the skin that can lead to red, itchy and scaly skin. Subtypes include contact dermatitis, seborrheic dermatitis, and atopic dermatitis (eczema).

    • Treatment typically involves avoiding irritants and using creams to control the symptoms.
  • Allergic Reaction: An allergic reaction to a drug, food, or substance can cause skin symptoms such as rashes and itching.

    • Treatment typically involves avoiding the allergen and using antihistamines to control the symptoms.

Please note that these are possibilities based on the symptoms you've described, and a definitive diagnosis can only be made by a healthcare professional after a thorough examination and possibly further testing.

What you can do

  1. Keep the skin clean and moisturized. Avoid scratching the affected areas as this can lead to further inflammation and possible infection.
  2. Over-the-counter creams and ointments containing the steroid hydrocortisone may help with itching and inflammation.
  3. If you notice that certain foods, substances, or situations make your symptoms worse, try to avoid them.
  4. Consult a healthcare professional for a definitive diagnosis and treatment plan.

What you should look out for

If your symptoms worsen or you develop new symptoms such as fever, severe pain, or signs of infection (increased redness, pus, swelling, warmth), seek medical attention immediately.

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10 mo ago

People Also Ask


What are the common symptoms of eczema and how is it treated?

Common symptoms of eczema include red, itchy skin that may become scaly or crusty. It often flares periodically and can be accompanied by asthma or hay fever. Treatment typically involves keeping the skin moisturized and using topical steroids to reduce inflammation.


How can I differentiate between psoriasis and other skin conditions like eczema or dermatitis?

Psoriasis typically presents as red, itchy scaly patches, often on the knees, elbows, trunk, and scalp. Unlike eczema, psoriasis patches are usually well-defined and may have a silvery scale. A healthcare professional can help differentiate these conditions through examination and possibly a skin biopsy.


What should I do if I suspect my rash is due to an allergic reaction?

If you suspect an allergic reaction, try to identify and avoid the allergen. Over-the-counter antihistamines can help control symptoms. If the reaction is severe or involves difficulty breathing, seek medical attention immediately.


When should I seek medical attention for a persistent rash?

You should seek medical attention if your rash worsens, does not improve with over-the-counter treatments, or if you develop new symptoms such as fever, severe pain, or signs of infection like increased redness, pus, swelling, or warmth.


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