[50M] Experiencing recurrent itchy rash

Patient Description

A 50-year-old male has been experiencing a recurrent, itchy rash on the lower side of his belly, described as red and similar to hives. The rash reappeared two days ago and has been persistent. Previously, the rash was temporarily alleviated with antibiotics. The patient noticed that the rash might be related to a new medication he started using around the time the rash appeared. He has a medical history of thyroid cancer, leading to thyroid removal, and is currently on 425 mg of levothyroxine, 12 mg of Suboxone, and Nexium. No new soaps, lotions, or other products have been used that could have caused the rash. No other symptoms such as fever, swelling, or difficulty breathing have been reported.

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Arora's Assessment

What might be happening

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

  • Allergic Reaction: This could be a reaction to a new medication or supplement you started taking. Allergic reactions can cause hives, which are red, itchy welts on the skin.

    • Treatment typically involves discontinuing the medication causing the reaction and taking antihistamines to relieve itching. In severe cases, corticosteroids may be prescribed.
  • Contact Dermatitis: This is a skin reaction resulting from exposure to allergens or irritants. Even if you haven't started using new soaps or lotions, it's possible to develop an allergy to products you've been using for a while.

    • Treatment usually involves avoiding the irritant or allergen. Over-the-counter creams and ointments can help relieve itching.
  • Drug Rash: Some medications can cause a rash as a side effect, even without an allergic reaction. The rash usually appears within a week of starting a new medication but can occur at any time.

    • Treatment typically involves discontinuing the medication (under the guidance of a healthcare provider) and managing symptoms.

What you can do

  1. Consult with a healthcare provider to discuss your symptoms and potential causes. They may need to adjust your medications or perform additional tests to determine the cause of the rash.
  2. Over-the-counter antihistamines can help relieve itching. However, you should consult with a healthcare provider before starting any new medications.
  3. Avoid scratching the rash, as this can lead to infection.

What you should look out for

Contact a healthcare provider immediately if:

  • The rash spreads or becomes more severe
  • You develop other symptoms, such as fever, difficulty breathing, or swelling of the face or tongue
  • The rash does not improve after a few days of home treatment

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.

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8 mo ago

People Also Ask


Can a new medication cause a rash even if it's not an allergic reaction?

Yes, some medications can cause a rash as a side effect without it being an allergic reaction. This is known as a drug rash and can occur at any time after starting a new medication.


What are common treatments for an allergic skin reaction?

Common treatments for an allergic skin reaction include discontinuing the suspected medication, taking antihistamines to relieve itching, and in some cases, using corticosteroids to reduce inflammation.


How can I differentiate between an allergic reaction and contact dermatitis?

An allergic reaction often involves hives and can occur shortly after exposure to an allergen, while contact dermatitis is a localized skin reaction to an irritant or allergen and may develop over time. A healthcare provider can help differentiate between the two.


When should I seek medical attention for a rash?

You should seek medical attention if the rash spreads, becomes more severe, or if you develop additional symptoms such as fever, difficulty breathing, or swelling of the face or tongue. Also, if the rash does not improve after a few days of home treatment, consult a healthcare provider.


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