[53M] With chronic itching and blisters, COPD, and low iron

Patient Description

A 53-year-old male presents with a three-year history of intermittent itching all over the body. The itching feels like being bitten and is accompanied by the formation of blisters under the skin when scratched. Episodes last a couple of hours and are triggered by changes in temperature (moving from cold to warm/hot weather) and stress. The patient's skin feels like reptile skin in the affected areas. There are no hives or swelling associated with the itching. The patient has COPD and low iron levels but no other pre-existing conditions or chronic illnesses. He has not tried any treatments or medications for the itching. The patient smokes 50 grams of tobacco every 14 days and uses weed frequently to relax but has not noticed any changes in symptoms related to smoking. There have been no recent changes in diet, no specific food triggers, and no recent travel. The patient has had all his teeth removed but no other recent surgeries or medical procedures. He is not currently taking any medications.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Chronic Urticaria (Hives): This condition can cause itchy welts that appear and disappear over time. It can be triggered by temperature changes, stress, or other factors. Chronic urticaria can sometimes cause blisters under the skin when scratched.

    • Treatment: Antihistamines are commonly used to manage symptoms. In some cases, doctors may prescribe stronger medications or recommend lifestyle changes to avoid triggers.
  • Dermatographia: This is a condition where minor scratches turn into temporary but significant reactions, such as red lines or welts. It can be triggered by stress and changes in temperature.

    • Treatment: Antihistamines can help manage symptoms. Avoiding scratching and using gentle skin care products can also be beneficial.
  • Eczema (Atopic Dermatitis): This condition can cause itchy, inflamed skin that feels like reptile skin. It can be triggered by environmental factors, stress, and temperature changes.

    • Treatment: Moisturizers, topical corticosteroids, and avoiding known triggers can help manage symptoms.
  • Contact Dermatitis: This is an inflammatory reaction to substances that come into contact with your skin. It can cause itching and blisters.

    • Treatment: Identifying and avoiding the irritant is key. Topical corticosteroids and antihistamines can help manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Avoid Triggers: Try to minimize exposure to extreme temperature changes and manage stress through relaxation techniques like deep breathing or meditation.
  2. Skin Care: Use gentle, fragrance-free moisturizers and soaps to avoid irritating your skin further. Keeping your skin hydrated can help reduce itching.
  3. Over-the-Counter Medications: Antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) can help reduce itching. Always follow the dosage instructions on the package.
  4. Cool Compresses: Applying a cool, damp cloth to the itchy areas can provide temporary relief.
  5. Avoid Scratching: Try to avoid scratching the itchy areas to prevent blisters and further irritation. Keeping your nails short can help minimize damage if you do scratch.
  6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Symptoms: If your itching becomes unbearable or your skin condition worsens, consult a healthcare professional.
  • Signs of Infection: If you notice redness, swelling, or pus in the areas where you have blisters, seek medical attention as this could indicate an infection.
  • New Symptoms: If you develop new symptoms such as difficulty breathing, swelling of the face or throat, or a rapid heartbeat, seek immediate medical attention as these could be signs of a severe allergic reaction.

Remember, while this advice can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

5 mo ago

People Also Ask


What could be causing my skin to feel like reptile skin and itch so intensely?

Your symptoms could be caused by conditions such as eczema, chronic urticaria, dermatographia, or contact dermatitis. These conditions can lead to itchy, inflamed skin that feels rough or scaly.


Are there any lifestyle changes I can make to help manage my itching symptoms?

To help manage your symptoms, try to avoid triggers like extreme temperature changes and stress. Use gentle, fragrance-free moisturizers and soaps, and practice relaxation techniques such as deep breathing or meditation.


What over-the-counter treatments are available for managing chronic itching?

Over-the-counter antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) can help reduce itching. It's important to follow the dosage instructions on the package.


When should I seek medical attention for my skin condition?

Seek medical attention if your symptoms become severe or worsen, if you notice signs of infection like redness or pus, or if you develop new symptoms such as difficulty breathing or swelling of the face or throat.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback