[32F] Experiencing skin irritation and crawling sensations

Patient Description

A 32-year-old female has been experiencing skin irritation for the past two years, described as a sensation of crawling and biting across her body, which intensifies at night or when hot. The irritation is particularly severe on the face, leading to scratching and the development of bumps. The patient also notes shiny areas in her hair, eyebrows, and private area. She has a history of sickle cell trait and low iron since infancy but is not currently on any medication. There are no signs of infection or fever, and no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Scabies: This is a skin infestation caused by a mite known as the Sarcoptes scabiei. It can cause intense itching and a pimple-like rash. The itching is often worse at night and the mites tend to favor areas of skin with hair.

    • Treatment usually involves medications that kill scabies mites and their eggs. Since scabies is highly contagious, doctors often recommend treatment for entire families or contact groups.
  • Allergic Dermatitis: This is a skin reaction caused by contact with a substance you're allergic to. It can cause a red, itchy rash and bumps.

    • Treatment involves avoiding the allergen and using creams to relieve the symptoms.
  • Delusional Parasitosis: This is a condition where a person mistakenly believes that they are being infested by parasites such as mites or bugs. It can cause intense itching and the sensation of something crawling on the skin.

    • Treatment often involves antipsychotic medications.

Please remember that these are only possibilities and not a definitive diagnosis.

What you can do

  1. Try to avoid scratching as much as possible. This can lead to further irritation and potential infection.
  2. Use a moisturizer to help soothe dry, irritated skin.
  3. Try over-the-counter anti-itch creams or lotions.
  4. Keep your nails short to prevent damage from scratching.
  5. Wear cool, smooth-textured clothing.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms become significantly worse or spread to new areas of your body.
  • You develop other symptoms such as fever, weight loss, or fatigue.
  • You notice signs of infection, such as redness, swelling, or pus in the areas you've been scratching.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


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

Common symptoms of scabies include intense itching, especially at night, and a pimple-like rash. It is treated with prescription medications that kill the mites and their eggs, and often involves treating close contacts to prevent spread.


How can allergic dermatitis be identified and managed?

Allergic dermatitis is identified by a red, itchy rash that occurs after contact with an allergen. Management includes avoiding the allergen and using topical creams to relieve symptoms.


What is delusional parasitosis and how is it treated?

Delusional parasitosis is a psychiatric condition where a person believes they are infested with parasites. Treatment typically involves antipsychotic medications and therapy.


What steps can be taken to prevent skin irritation from worsening?

To prevent skin irritation from worsening, avoid scratching, use moisturizers, apply anti-itch creams, keep nails short, and wear cool, smooth-textured clothing.


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