[37F] With recurrent red patches, burning, and peeling skin

What might be happening

Based on the information you have provided, here are some possible conditions that could explain your symptoms:

• Psoriasis: Psoriasis is a chronic skin condition that causes red, scaly patches that can be itchy or painful. It often appears on the elbows, knees, scalp, and lower back but can occur anywhere on the body. The burning sensation and peeling you describe could be consistent with this condition.

  • Treatment: Psoriasis is often treated with topical treatments like corticosteroids (which you mentioned), vitamin D analogues, and moisturizers. In more severe cases, phototherapy or systemic medications may be needed.

• Eczema (Atopic Dermatitis): This is another chronic skin condition that causes red, inflamed, and itchy skin. It can appear anywhere on the body and often comes and goes in flare-ups.

  • Treatment: Eczema is typically managed with moisturizers, topical corticosteroids, and avoiding known triggers. In some cases, antihistamines or other medications may be prescribed.

• Contact Dermatitis: This condition occurs when the skin reacts to a substance it has come into contact with, causing redness, burning, and peeling. It can be caused by allergens or irritants.

  • Treatment: Identifying and avoiding the triggering substance is key. Topical corticosteroids and moisturizers can help manage symptoms.

• Lichen Planus: This is an inflammatory condition that can cause red, itchy, and sometimes painful patches on the skin. It can also cause peeling.

  • Treatment: Treatment often involves topical corticosteroids, antihistamines, and sometimes systemic medications.

What you can do

1. Moisturize Regularly: Keeping your skin well-moisturized can help reduce dryness and peeling. Look for fragrance-free and hypoallergenic products.
2. Avoid Known Triggers: If you can identify any substances that seem to trigger your flare-ups, try to avoid them.
3. Use Over-the-Counter Treatments: You can use over-the-counter hydrocortisone cream to help reduce inflammation and itching. However, consult your doctor before using any new treatments.
4. Stay Hydrated: Drinking plenty of water can help keep your skin hydrated from the inside out.
5. Cool Compresses: Applying cool, damp cloths to the affected areas can help soothe burning and itching.

What you should look out for

• Worsening Symptoms: If your symptoms worsen or do not improve with over-the-counter treatments, you should see a healthcare provider.
• Signs of Infection: If you notice any signs of infection, such as increased redness, warmth, swelling, or pus, seek medical attention promptly.
• New Symptoms: If you develop new symptoms, such as fever, joint pain, or changes in your nails, consult a healthcare provider.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.