Q. I have redness and bumps in multiple places on my body, which can really get itchy sometimes. Please help.
Hi doctor,
I have redness and bumps in multiple places on my body, on both legs, on my hips, under my hands where you put deodorant, on my buttocks. It can get really itchy sometimes, and it has been there for almost ten days now. I tried using Hydrocortisone cream a few days ago but did not see much results. I am a 29-year-old male. This is my first time I get something like this, and I am afraid that it will not go away on its own. I do not recall eating anything special these last few days. I do not do drugs, and I did not drink for a very long time. I take my shower every 2 to 3 days since I work from home and do not sweat a lot. But since that came, I have been taking my shower twice a day and cleaning it with a Cetaphil foaming cleanser. Please help.
Hello,
Welcome to icliniq.com.
I understand your concern.
It looks like you have got scabies, a condition caused by a mite. It cannot be seen by naked eyes, only under the microscope. Symptoms include intense itching, which worsens at night, and bumps are seen all over but more prominent between fingers, around axilla, and presence of bumps over male genitalia is almost always diagnostic. So please confirm if you have increase itching at night or any genitals lesions? The second possibility is papular urticaria, which might be caused by bed bugs or mosquitoes. Genital lesions are not very common, and not much diurnal variation. Revert with some details as asked so that I can be sure of the diagnosis and prescribe you some medications.
And in any case, do not get too much worried. Both conditions get better with treatment soon enough.
Take care.
Hi doctor,
Yes, I think the itching usually gets worse at night. One week ago, I had bumps on my penis, it was very itchy, but they are completely gone. I have nothing on my hands, and the big areas are on my legs, hips, and axillae, the triceps or bicep bottom side. I added more pictures. And all those areas are on both sides of my body, left and right. The area around the axillae seems a little better, but those around my legs seem to be worse now. I did have bumps on my penis but no lesions. It was swollen red bumps and very itchy. Where I live, it is still not very hot, and there are no mosquitos.
Thank you.
Hello,
Welcome back to icliniq.com.
Thanks for sharing more pictures (attachments removed to protect the patient's identity).
▪︎ Yes, it looks like scabies only.
▪︎ Please take the following medications and follow the instructions:
1. Permethrin 5% cream
This needs to be applied all over the body, below the neck at night, leave it overnight, and take a hot water bath in the morning.
This should be repeated after one week for a complete response.
▪︎ You also need to wash the clothes and bed sheets in hot water.
2. Tablet Fexofenadine 180 mg twice a day
3. Mometasone furoate cream apply on the bumps daily twice a day
Please note that though you will see improvement in itching and redness soon enough, complete clearance might take 3 to 4 weeks.
Take these for two weeks initially, then follow up.
Regarding the prescription part, please contact the icliniq support team. They will help you out.
Take care.
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