I am 72. How can I manage my recurrent itchy body lesions?

Question

Hello doctor,

I am a 72-year-old male who weighs 145.50 Lbs. I have multiple itchy lesions all over my body, which respond temporarily to oral steroids. I have pancreas divisum, chronic pancreatitis, and intraductal papillary mucinous neoplasm (IPMN), which has not grown since it was discovered five years ago.

But my calcium is high (19.9), creatinine is normal (2.82), amylase is 54, and HbA1c is 5.7. They accidentally found small cysts in the liver and kidneys (not a cystic disease but considered normal with age), mild asymptomatic diverticulosis, and BPH with minimal symptoms.

I also have partial hearing and memory loss, mild tremors, and some cervical and sacral degenerative changes. I take a lot of nutrients and antioxidants, and I stopped alcohol six years ago. I do a lot of exercise.

I have had recurrent attacks of angina since I was 50 years old, mild CAD, and controlled hypertension with minimal medication. My EF is 65, with mild mitral regurgitation, and mild right ventricular atrial hypertrophy.

What is my diagnosis?
Do I need to do more testing?
What is the treatment?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern and will try to help you with it.

It seems you have developed either allergic contact dermatitis or tinea corporis. Please send pictures of the lesions for a better understanding.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have read your concern and examined the pictures (attachment removed to protect patient identity). It looks like you have developed disseminated eczema or allergic contact dermatitis. But the body surface area is not that much involved, and it can easily be managed with a topical steroid; no need to take oral steroids. I suggest you try the following.

Try using HH salic (combination of Mometasone and Salicylic acid) ointment, twice daily.
Tablet Levocetirizine, once daily for two weeks, after consulting your physician or nearby dermatologist.
Tablet Azathioprine is to be taken for 3 to 5 days only.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.