Dr. Atishay Bukharia
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 32-year-old male with nonprogressive physical disability arthrogryposis. I feel healthy for the most part, but I keep getting random scabs. I have had another skin issue on and off, and it involves getting scabs or scars for no reason. I am not sure if these scars or scabs are due to an underlying health issue or bugs or what could cause random scabs to appear out of nowhere. I do not live an active lifestyle. I rarely go out. I cannot have hurt myself to get these scars. Kindly help me.
Hi,
Welcome to icliniq.com.
How long has it been there? What are the affected areas? Does the affected area spread? Can you give a detailed history of its onset, progression, and duration? Any history of diabetes mellitus, hypertension, or psychiatric disorder? Is there any other systemic disease? Please answer the questions so that I can guide you accordingly.
Patient's Query
Hi doctor,
Thank you. The spot has been there for about a day or so. Sometimes I notice this happen from time to time but not always in the same area. The spot in the picture is on my leg, somewhat close to my feet. One time I was showering, I noticed a similar spot on my other leg when I noticed blood was coming out of it as I was showering. It is not like me to have random scabs or scars and to bleed abnormally. I do not have hypertension, but I suffer from what was formally referred to as hypochondria, making my life stressful, but it all ties to my disability. I constantly worry that my chances of diseases are more likely. No medication can stop my worry, especially when I feel it is a legitimate cause of concern and like I said, I do not scar or scab for no reason. Kindly help me.
Hi,
Welcome back to icliniq.com.
I have seen the pictures attached (attachments removed to protect the patient's identity). You are suffering from an insect bite reaction. I would advise you to use Mupirocin cream twice daily. There is nothing serious about it. If not relieved by it, then I suggest you take tablet Augmentin 625 mg (Amoxicillin and Clavulanate potassium) twice daily for seven days. I also would like to advise you not to touch the lesion or avoid picking it to heal correctly. I hope this helps you.
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Dermatology
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