Why do I have multiple itchy lesions all over my body?

Q. I have multiple itchy lesions all over my body. What can they be?

Answered by
Dr. Suvash Sahu
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 02, 2017 and last reviewed on: Jul 10, 2023

Hello doctor,

I am 72 years male, who weighs 145.50 Ibs and I am 5'45" tall. I have multiple itchy lesions all over my body which respond temporarily to oral steroids. RAST test showed I am allergic to dogs and cats. My dermatologist diagnosed it as type 3 hypersensitivity (IgG-mediated), and I am not taking gluten, barley, garlic, and wheat, but there is no response.

I have pancreas divisum, chronic pancreatitis, and intraductal papillary mucinous neoplasm (IPMN), which is not growing since 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 BHP 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 stopped alcohol six years ago. I do a lot of exercise.

I have recurrent attacks of angina from when 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?



Welcome to icliniq.com.

I have read your query.

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

Hi doctor,

Thanks for your prompt reply. The biopsy diagnosis was eczema. I just send eight pictures with the history.



Welcome back to icliniq.com.

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 manageable with a topical steroid, no need to take oral steroids. I suggest you try the following.

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

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