[50M] Experiencing non-itchy skin blotchiness and year-round sinusitis

Patient Description

A 50-year-old male reports non-itchy, blotchy skin that appears on the torso, stomach, abdomen, back, ribs, arms, and legs shortly after getting out of bed or while sitting at a work desk. The blotches are reddish, non-raised, and not patterned, with symptoms improving upon lying down or after a warm shower. The condition has been present for about a year or more. Additionally, the patient has been dealing with dry, crepe-like skin on the legs for over five years. The patient also suffers from year-round sinusitis, primarily presenting as a stuffy nose, without any associated fever or chills. The patient takes Allegra and Pepcid regularly and has a known pollen allergy but no known medicine allergies. There are no other reported symptoms, pre-existing conditions, or chronic illnesses.

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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:

  • Dermatographia: This is a condition where lightly scratching your skin causes raised, red lines where you've scratched. Although this condition can be uncomfortable, it's not dangerous and will often get better on its own.

    • There's no cure for dermatographia, but antihistamines can help relieve the symptoms.
  • Urticaria (Hives): This is a skin reaction that causes itchy welts, which can range in size from small spots to large blotches. Hives can be triggered by many situations and substances, including heat, exercise and alcohol.

    • Treatment for hives includes avoiding known triggers and using over-the-counter antihistamines to help control the itching.
  • Allergic Reaction: Given your history of pollen allergy, it's possible that you're experiencing an allergic reaction to something in your environment. This could be causing your skin blotchiness.

    • Treatment for allergic reactions typically involves avoiding the allergen and taking antihistamines to control symptoms.
  • Rosacea: This is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps.

    • Treatment for rosacea typically involves medications to reduce the redness, inflammation, and pimples.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to narrow relieve your symptoms or figure out what's going on:

  1. Try to identify any triggers that may be causing your skin blotchiness. This could include certain foods, drinks, medications, or environmental factors.
  2. Keep your skin moisturized. This can help prevent dryness and irritation.
  3. Avoid scratching your skin, as this can make your symptoms worse.
  4. Over-the-counter antihistamines may help relieve your symptoms. However, you should consult with a healthcare provider before starting any new medication.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or do not improve after a few days
  • If you develop other symptoms, such as difficulty breathing, swelling, or severe itching
  • If you are unable to identify a trigger for your symptoms

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 could be causing non-itchy, blotchy skin that improves after lying down or a warm shower?

Non-itchy, blotchy skin that improves after lying down or a warm shower could be due to conditions like dermatographia, urticaria, or an allergic reaction. It's important to identify any potential triggers and consult a healthcare provider for a proper diagnosis.


How can I manage dry, crepe-like skin on my legs?

To manage dry, crepe-like skin, it's important to keep the skin moisturized using creams or lotions, especially after bathing. Avoid hot showers and use gentle, fragrance-free skin care products. Staying hydrated and using a humidifier can also help.


What are some common triggers for urticaria (hives) and how can they be avoided?

Common triggers for urticaria include heat, exercise, stress, certain foods, medications, and environmental factors. Avoiding known triggers and taking antihistamines can help manage symptoms. Consulting with a healthcare provider can help identify specific triggers.


What are the symptoms of sinusitis and how can it be managed year-round?

Sinusitis symptoms include a stuffy nose, facial pain or pressure, and nasal congestion. Managing it year-round may involve using saline nasal sprays, staying hydrated, using a humidifier, and taking antihistamines or decongestants as recommended by a healthcare provider.


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