[37F] Experiencing rash, fatigue, and nausea

Patient Description

A 37-year-old female reports a 2-day history of a rash located on the inside of her thighs and under her belly button. The rash is described as red, slightly raised, and itchy. Alongside the rash, the patient has been experiencing fatigue, a little nausea, and shakiness in her hands, which she describes as not feeling right. She has not noticed any blisters or oozing from the rash, nor has she experienced any sudden swelling of her face, lips, or throat, or any difficulty breathing. The patient uses a variety of products and chemicals in her job, but is unsure if these are related to her symptoms. She is not currently taking any medications and does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Contact Dermatitis: This is a type of skin inflammation that occurs when substances touching your skin cause irritation or an allergic reaction. The red, itchy, and slightly raised rash you described can be a symptom of contact dermatitis. Your exposure to a lot of chemicals and products at work could potentially be the cause.

    • Treatment typically involves avoiding the irritants or allergens that caused the reaction. Over-the-counter creams and ointments can help soothe the skin and reduce inflammation.
  • Allergic Reaction: If you've been exposed to a substance that your body is allergic to, it could result in a rash. Other symptoms can include nausea and shaking.

    • Treatment for mild allergic reactions often involves antihistamines. Severe reactions require immediate medical attention.
  • Heat Rash: This is a skin irritation caused by excessive sweating. It can occur in hot and humid conditions, often in areas where clothing causes friction.

    • Treatment involves cooling the skin and avoiding heat and humidity.

Please note that these are possibilities based on the information you've provided and are not definitive diagnoses.

What you can do

  1. Try to identify any new substances you've been in contact with recently that might have caused the rash. This could include new personal care products, laundry detergents, or chemicals at work.
  2. Over-the-counter creams and ointments can help soothe the skin and reduce inflammation. Look for products with hydrocortisone or a similar ingredient.
  3. Avoid scratching the rash as this can worsen the condition and potentially lead to infection.
  4. Keep the rash clean and dry. Avoid heat and humidity if possible.

What you should look out for

Please seek immediate medical attention if:

  • The rash spreads or worsens
  • You develop a fever
  • You experience difficulty breathing or swallowing
  • The rash becomes painful or starts to ooze

Remember, while I strive to provide accurate information, I am not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

People Also Ask


What is contact dermatitis and how can it be treated?

Contact dermatitis is a type of skin inflammation that occurs when the skin comes into contact with an irritant or allergen. It can cause a red, itchy, and slightly raised rash. Treatment typically involves avoiding the irritants or allergens and using over-the-counter creams or ointments to soothe the skin and reduce inflammation.


Can an allergic reaction cause symptoms like nausea and shakiness?

Yes, an allergic reaction can cause symptoms beyond just a rash, including nausea and shakiness. These symptoms occur as the body's immune system responds to an allergen. Mild allergic reactions can often be treated with antihistamines, but severe reactions require immediate medical attention.


What are the common causes and treatments for heat rash?

Heat rash, also known as prickly heat, is caused by excessive sweating in hot and humid conditions. It often occurs in areas where clothing causes friction. Treatment involves cooling the skin, keeping it dry, and avoiding heat and humidity. Wearing loose-fitting clothing can also help.


When should I seek medical attention for a rash?

You should seek medical attention for a rash if it spreads or worsens, if you develop a fever, if you experience difficulty breathing or swallowing, or if the rash becomes painful or starts to ooze. These could be signs of a more serious condition that requires professional evaluation.


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1 Comments


Brian#4030

8 mo ago

Probably is an allergy to the chemicals you've encountered recently at work. My wife sometimes gets similar problem after extensive cleaning work and had to switch to more natural detergents. Hydrocortisone cream from local drug store seems to work well for itching and redness when it happens though

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