How to manage itchy, hard bumpy patches?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Kindly share a picture of the lesions.

The probable causes include:

1. Atopic dermatitis - It flares up mainly due to sweat.
2. Diabetic neuropathy - Uncontrolled sugar levels can lead to neuropathy and itching. But patches are not common.
3. Work environment related - It may be due to any chemical exposure that leads to the occurrence of such lesions.
4. Infection - Some fungal infections have such a presentation and are related to excessive sweat.

I advise you to do the following:

1. Controlled diabetes - A well-controlled sugar level can help. It prevents complications like neuropathy and nephropathy.
2. Stronger topical steroids may help. Higher antihistaminics too can help.
3. Moisturize with petroleum jelly or other thick lasting ones.
4. Avoid sweating - You can wear loose, breathable clothes, wash your sweat once at home, and avoid unnecessary contact with the sun. Make use of sunscreens.

I suggest you do the following investigations:

1. Blood glucose level - fasting and post-meal.
2. IgE levels.
3. IgM levels.

Kindly consult a specialist doctor, talk with them, and take proper guidance.

I hope this helps.

Thank you.