[41F] Experiencing severe dry skin and itchiness on arms

Patient Description

A 41-year-old female presents with severe dryness and flakiness of the skin on her arms, persisting for approximately two weeks. The affected skin appears white and becomes red upon itching, which is described as constant and nagging. Symptoms exacerbate post-showering. The patient has attempted to use Jergens lotion with shea butter without significant relief. She reports taking an over-the-counter daily allergy pill but has no known allergies or adverse reactions to medications. There is no past medical history of similar symptoms, chronic illnesses, or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Eczema (Atopic Dermatitis): This is 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 with lotions and creams, and using medicated ointments to control itching and inflammation.
  • Psoriasis: This is 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 includes creams, light therapy, and oral medications to slow skin growth and reduce inflammation, itchiness, and scales.
  • Dry Skin (Xerosis): This is a common condition that can occur at any age and for many reasons, including cold weather and frequent bathing.

    • Treatment typically involves moisturizing the skin with creams and lotions, and avoiding harsh, drying soaps.
  • Contact Dermatitis: This is a skin rash caused by contact with a certain substance.

    • Treatment involves avoiding the substance that caused the rash, and using creams to control the itching.

What you can do

  1. Keep your skin moisturized: Apply moisturizer several times a day and after bathing. Thicker moisturizers, such as ointments and creams, are more effective than lotions.
  2. Use a gentle cleanser: Soaps can strip oils from the skin. Stop using deodorant bars, antibacterial soaps, perfumed soaps, and skin care products containing alcohol, like hand sanitizers.
  3. Avoid scratching: Cover the itchy area with a dressing, if you can't keep from scratching it. Trim nails and wear gloves at night.
  4. Apply cool, wet compresses: Covering the affected area with bandages and dressings can help protect the skin and prevent scratching.
  5. Take a comfortably cool bath: To relieve your skin, add baking soda, uncooked oatmeal or colloidal oatmeal — a finely ground oatmeal that is made for soaking.

What you should look out for

If your symptoms persist or worsen, you should seek medical attention. Also, if you notice any of the following, you should contact a healthcare professional:

  • Signs of skin infection, such as red streaks, pus, or a yellow or brown crust
  • The rash covers your body
  • You have a fever
  • You're in pain
  • The rash doesn't get better within a few days or weeks

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What are the common causes of severe skin dryness and flakiness?

Common causes of severe skin dryness and flakiness include eczema, psoriasis, dry skin (xerosis), and contact dermatitis. Environmental factors like cold weather and frequent bathing can also contribute.


How can I differentiate between eczema and psoriasis?

Eczema often presents as red, itchy patches that may be accompanied by asthma or hay fever, while psoriasis typically causes red, scaly patches that are often found on the knees, elbows, and scalp. A healthcare professional can provide a definitive diagnosis.


What are effective treatments for dry skin that doesn't respond to regular lotion?

For dry skin that doesn't respond to regular lotion, consider using thicker moisturizers like ointments or creams, avoiding harsh soaps, and applying cool, wet compresses. Adding oatmeal to baths can also help soothe the skin.


When should I see a doctor for persistent skin dryness and itching?

You should see a doctor if your symptoms persist or worsen, if you notice signs of infection, if the rash covers your body, if you have a fever, or if the rash doesn't improve within a few days or weeks.


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