HomeAnswersDermatologyskin rashI have been having itchy rashes on my hand, forearm, and upper back. Why?

What are the ways to get rid of itchy rashes on the hand, forearm, and upper back?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At June 15, 2023
Reviewed AtJanuary 14, 2024

Patient's Query

Hi doctor,

I am suffering from a rash on my hand, forearms, and upper back. It is itchy sometimes, usually towards the end of the day.

Please help.

Thank you.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I have read your query and examined your given picture (attachment removed for patient identity protection).

Please answer the following questions.

  1. Are these rashes associated with fever?
  2. Since how long have you had these?
  3. Out of these rashes, do any of the rashes have fluid-filled lesions?
  4. Is there any oral lesion?
  5. Did you have similar eruptions in the past?

Since most of the lesions are on exposed areas, so first probable diagnosis that comes to mind is papular urticaria or insect bite hypersensitivity. You can use the tablet Cetirizine once daily and apply Lacto calamine lotion twice daily for five days after consulting with your doctor.

Thank you.

Patient's Query

Hi doctor,

Thank you for your answer.

It has been a week and the rash looks like it could be filled with something, but I cannot squeeze anything out. No oral symptoms and no fever. And also, I never had anything like this before.

Thank you.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

Since your lesions are not associated with fever, oral lesions, history of similar eruptions, and no fluid-filled eruptions, they look like they are filled with something within a week's duration. I would consider molluscum contagiosum first, then insect bite hypersensitivity or papular urticaria.

Molluscum contagiosum, caused by molluscum contagiosum virus. In this, lesions with central umbilication (a depression similar to that of the navel at the center of any lesion) are present in each lesion, and a white body is inside the bump. It is a contagious and sexually transmitted disease. It can spread and form new lesions. You need to rule out immunosuppression by doing a certain tests like hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV), venereal disease research laboratory test (VDRL), human immunodeficiency virus (HIV), and blood sugar.

Treatment plan - Needling to extrude the inside material (Henderson-Paterson bodies) and TCA (Trichloroacetic acid) are the best options in your case, or you can try Tretinoin 0.025 % local applications during the night for two weeks after consulting a specialist doctor.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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