How are chronic rashes and itching treated?

Question

Hello doctor,

I am male and 18 years old. Last year, a rash (urticaria) appeared on my skin for the first time. These were small changes at first, and over time, they spread more and more. They continue to this day. They appear when I am exposed to physical activity or heat. The first thing I feel is burning and stinging on my body, followed by the appearance of urticaria on my skin, red blisters or spots that show up on my stomach, back, face, neck, and hands, and rarely on my legs, and to a lesser extent. I took a blood test, and everything came back fine. I used standard allergy tablets recommended by the doctor and received injections, but there was no improvement. When it goes on for a long time, it becomes unbearable. Do you have any recommendations?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body. But do not worry, I am here to take care of you. Regarding your symptoms, this is very concerning. I suspect that you have a condition called cutaneous porphyria. This occurs when the skin is sensitive to sunlight, leading to blistering, fragility, or redness.

Could you please provide information on,

Do you have any history of alcohol intake?
Any changes in cosmetics?
When was the last time you took an anthelmintic (a medication for worm infestation)?
Please do a plasma and urine porphyrin test and reply to me with the results.

In the meantime, please reduce your exposure to the sun and use the following medications.

Topical 0.2 percent Tacrolimus cream.
Topical 0.05 percent Clobetasol ointment once a day, or 0.2 percent Hydrocortisone cream twice a day for one month.
Also, take one tablet of Hydroxyzine 25 mg orally once a day for two weeks.

Please reply if you have any more concerns or questions by scheduling a direct appointment or following up.

I hope this helps.

Thank you.