[82F] With generalized itching, fever, and sore throat

Patient Description

An 82-year-old female reports experiencing generalized itching all over her body, which started yesterday morning and has gradually worsened. The itching is described as a tingling sensation. The patient also reports a slight fever, with her face feeling feverish to the touch, and a sore throat that has worsened after taking Benadryl. There are no visible skin changes such as rashes, redness, or swelling, and she has not experienced similar symptoms before. The patient has not been around anyone with similar symptoms recently, nor has she started any new medications, foods, or been exposed to new environments or substances. Additionally, there have been no recent insect bites or stings.

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Arora's Assessment

What might be happening

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

  • Viral Infection: Itching, a sore throat, and a slight fever can be symptoms of a viral infection, such as the common cold or a mild flu. Viral infections often cause systemic symptoms like itching due to the body's immune response.

    • Treatment: Viral infections typically resolve on their own. Rest, hydration, and over-the-counter medications to manage symptoms (like acetaminophen for fever) are common treatments.
  • Allergic Reaction: Generalized itching can be a sign of an allergic reaction, even if you haven't identified a new allergen. Sometimes, allergies can cause systemic symptoms, including a sore throat and fever.

    • Treatment: Antihistamines like Benadryl are commonly used, but since Benadryl worsened your throat symptoms, you should consult a healthcare provider for alternative treatments.
  • Contact Dermatitis: Although you mentioned no visible skin changes, contact dermatitis can sometimes cause widespread itching without a visible rash, especially if the irritant is widespread.

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

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of fluids to help manage your fever and keep your throat moist.
  2. Rest: Ensure you get plenty of rest to help your body fight off any potential infection.
  3. Cool Compresses: Applying cool compresses to itchy areas can provide temporary relief.
  4. Avoid Irritants: Try to avoid any potential irritants that could be worsening your symptoms, such as harsh soaps or new skincare products.
  5. Symptom Journal: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying any patterns or triggers.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Difficulty Breathing: This could indicate a more severe allergic reaction.
  • High Fever: If your fever rises above 100.4°F or persists for more than a couple of days.
  • Severe Sore Throat: If your sore throat becomes significantly worse or you have difficulty swallowing.
  • New Symptoms: If you develop new symptoms such as a rash, swelling, or severe pain.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago


People Also Ask


What could be causing generalized itching without a visible rash?

Generalized itching without a visible rash can be caused by several factors, including viral infections, allergic reactions, or even contact dermatitis. It's important to consider recent exposures or changes in environment, even if they seem minor.


Can a viral infection cause symptoms like itching and a sore throat?

Yes, a viral infection can cause systemic symptoms like itching and a sore throat. The body's immune response to the virus can lead to these symptoms, along with fever and general discomfort.


Why might Benadryl worsen sore throat symptoms?

Benadryl, an antihistamine, can sometimes cause side effects like dry mouth or throat, which might worsen sore throat symptoms. If this occurs, it's advisable to consult a healthcare provider for alternative treatments.


What should I do if my fever persists or worsens?

If your fever persists or worsens, it's important to seek medical attention. Persistent fever could indicate a more serious infection or condition that requires professional evaluation and treatment.


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