[43M] Experiencing a small itchy welt near the eye

Patient Description

A 43-year-old male presents with a small, red, itchy welt near the eye that has been persistent for 5 days. The welt is raised without defined edges and has not changed in size or appearance. The patient denies any associated fever, signs of infection, changes in vision, or eye discharge. He has a personal and family history of atopic conditions and was diagnosed with dermatomyositis at the age of 16. The patient is not currently on any medications and has no known drug allergies. He has been in contact with someone with eczema but has not traveled recently or been exposed to new environments.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Dermatitis: This is a general term that describes an inflammation of the skin. Dermatitis can have many causes and occurs in many forms. It usually involves an itchy rash on swollen, reddened skin.

    • Treatment typically involves the application of creams to control itching and inflammation, and avoiding irritants.
  • Eczema: Given your personal and family history of atopic conditions, it's possible that this could be a flare-up of eczema. Eczema, also known as atopic dermatitis, is a condition that makes your skin red and itchy. It's common in children but can occur at any age.

    • Treatment typically involves the application of creams to control itching and inflammation, and avoiding irritants.
  • Dermatomyositis: This is a rare inflammatory disease marked by muscle weakness and a distinctive skin rash. However, given that you haven't mentioned any muscle weakness, it's less likely that your current symptoms are related to this condition.

    • Treatment typically involves medication to control inflammation and suppress the immune system.

What you can do

  1. Avoid scratching the welt as much as possible. This can cause further inflammation and potentially lead to an infection.
  2. Apply a cold, damp cloth to the area for 15 minutes at a time to help reduce itching and inflammation.
  3. Use over-the-counter creams or ointments that contain hydrocortisone. These can help to reduce itching.
  4. Keep the area clean and dry to prevent infection.

What you should look out for

You should seek immediate medical attention if:

  • The welt becomes significantly larger or more painful.
  • You develop a fever or other signs of infection such as increased warmth, pus, or spreading redness around the welt.
  • You experience changes in your vision.

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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1 yr ago

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People Also Ask


What are the common causes of a persistent itchy welt near the eye?

Common causes of a persistent itchy welt near the eye include allergic reactions, contact dermatitis, eczema, or insect bites. It's important to consider personal and family history of atopic conditions when assessing the cause.


How can I differentiate between eczema and other types of dermatitis?

Eczema, or atopic dermatitis, often presents as red, itchy patches that may be accompanied by a family history of atopic conditions. Other types of dermatitis, like contact dermatitis, are usually triggered by direct contact with an irritant or allergen and may have more defined edges.


What are the potential complications if a skin welt becomes infected?

If a skin welt becomes infected, it can lead to complications such as cellulitis, which is a deeper skin infection. Signs of infection include increased redness, warmth, swelling, pus, and fever. Prompt medical treatment is necessary to prevent the spread of infection.


How does a history of dermatomyositis affect skin conditions like eczema?

A history of dermatomyositis may not directly affect eczema, but it indicates a predisposition to autoimmune and inflammatory conditions. While dermatomyositis primarily affects muscles, its skin manifestations can sometimes be confused with other skin conditions, so careful evaluation is needed.


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