[56F] Experiencing severe itchiness and dizziness

Patient Description

A 56-year-old female presents with severe itchiness, characterized by dry, scaly patches on one eyelid and around the anus, as well as a single recurring itchy hive on her calf. The symptoms have been ongoing for approximately one week, with the hive recurring over an unspecified duration. The itchiness is described as severe and constant, with no relief from any interventions thus far. There is no noted correlation with exposure to specific substances or variation in symptoms at different times of the day. Additionally, the patient reports dizziness upon standing. There is no known contact with others who have similar symptoms, and no prior history of similar skin issues was reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • 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 itchy, dry skin or a rash on swollen, reddened skin.

    • Treatment typically involves identifying and avoiding substances that irritate your skin, moisturizing your skin, and applying medicated creams or ointments.
  • Psoriasis: This is a skin disease that causes red, itchy scaly patches, most commonly on the knees, elbows, trunk and scalp. Psoriasis is a common, long-term (chronic) disease with no cure. It tends to go through cycles, flaring for a few weeks or months, then subsiding for a while or going into remission.

    • Treatments include steroid creams, vitamin D3 cream, ultraviolet light, and immune system suppressing medications, such as methotrexate.
  • 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. Atopic dermatitis is long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever.

    • Treatment for eczema includes avoiding soap and other irritants. Certain creams or ointments may also provide relief from the itching.

What you can do

  1. Try to identify and avoid any triggers that worsen the inflammation. Triggers can include rough or coarse materials touching your skin, excessive heat or sweating, soaps, detergents, disinfectants, fruit and meat juices, dust mites, and animal saliva and danders.
  2. Apply an over-the-counter cream or ointment containing hydrocortisone. A low-dose hydrocortisone cream may help with mild eczema. Prescription-strength steroids are also available if these aren't effective, but they should be used under the supervision of a healthcare provider as they can cause side effects.
  3. Use a good moisturizer that contains ceramides. Ceramides are fats that naturally occur in skin and that play a key role in maintaining its barrier function. Look for over-the-counter skin-care products that list ceramides as one of the ingredients.

What you should look out for

Reasons to see a doctor more urgently:

  • If your skin becomes infected, which can happen if you scratch at your skin. Signs of an infection include red streaks coming from the affected area, pus, or a yellowish-white coating over the skin.
  • If your skin becomes so itchy that it's interfering with your sleep or daily activities.
  • If home remedies and over-the-counter creams and ointments aren't helping.
  • If you're experiencing any other symptoms, such as fever, weight loss, or fatigue.

Please remember that while I strive to provide accurate and helpful health information, this is not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What are the common causes of severe itchiness and dry, scaly skin patches?

Severe itchiness and dry, scaly skin patches can be caused by conditions such as dermatitis, psoriasis, and eczema. These conditions can be triggered by factors like allergens, irritants, stress, and changes in weather.


How can I differentiate between dermatitis, psoriasis, and eczema?

Dermatitis often involves itchy, dry skin or a rash on swollen, reddened skin. Psoriasis typically presents as red, itchy scaly patches, often on the knees, elbows, trunk, and scalp. Eczema, or atopic dermatitis, causes red, itchy skin and is often associated with asthma or hay fever. A healthcare provider can help differentiate these conditions based on symptoms and medical history.


What are some effective treatments for managing severe itchiness and skin inflammation?

Effective treatments include identifying and avoiding triggers, using moisturizers with ceramides, and applying over-the-counter or prescription creams containing hydrocortisone or other steroids. In some cases, treatments like vitamin D3 cream, ultraviolet light therapy, or immune system suppressing medications may be recommended.


When should I seek medical attention for skin conditions like these?

You should seek medical attention if your skin becomes infected, if the itchiness interferes with sleep or daily activities, if home remedies and over-the-counter treatments are ineffective, or if you experience additional symptoms like fever, weight loss, or fatigue.


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