Dr. Vinay Kumar
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 have this skin problem that I first noticed before three years. My skin will itch like crazy and break out into welts and hives. The symptoms will last for a few hours and then go away. Some days I experience more than two outbreaks. The itching, bumps, and hives most likely appear after I undress and remove all of my clothing. It does not matter whether the weather is hot, cold, windy, rainy, or dry I will have an outbreak. I do not have any known food or medicine allergies. I also do not take any medications to ease the itching and swelling. What do you think it could be?
Hello,
Welcome to icliniq.com.
I have examined the pictures (attachment removed to protect the patient's identity) and taken note of your concerns. I think the underlying cause is a parasitic infestation which is known to give rise to itching in evenings and nights and also results in the formation of wheels as noticed in the pictures. The treatment for this condition is with the help of the following measures. GBHC lotion Gamma Benzene Hexachloride is to be applied as three applications every week each 12 hours apart. The first application is after a bath and to the whole body below the neck followed by two similar applications at 12 hours gap but without an intervening bath. Repeated every week for five weeks. Tablet Levocetirizine 5 mg a day for the whole duration. A single tablet of Ivermectin 12 mg only at the start of treatment, just once. It takes some weeks for the itching and symptoms to subside. Disinfection of bed linen and garments with boiling water or steam ironing.
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Dermatology
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