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In last three weeks, I have had intense itchy red bumps on

 
Dr Nair's Avatar
  • Answered by:Dr Nair
  • Dermatologist
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Customer Question

In last three weeks, I have had intense itchy red bumps on trunk, buttocks, thighs and pelvis area. Bumps are single but sometimes two appear in close proximity. Itching worse at night and morning time. Sometimes eyelids are tender and itchy in the morning but it goes away. No known allergies, (except poison oak as a child), however I seem to have a gluten sensitivity and have been eating a gluten free diet for about 5 years, with the occaisional ingestion when it cannot be avoided. Itching has not abated. Getting very concerned!

 

Optional Information:
Gender: Female
Age: 44

Already Tried:
Not itching the spots..Not very successful with this! Changing bed linens. Wearing looser clothing. Drinking more water.

Submitted: 685 days and 13 hours ago.
Category: Dermatology
Value: $38
Status: CLOSED
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Expert:  Dr Nair replied685 days and 11 hours ago.

Hi,

How big are these bumps?

Do they disappear in a few hours or have they been persistent since appearing?

Does anyone else living with you have itching as well?

Customer replied685 days and 5 hours ago.

Thank you for the follow up.

The bumps look similar in size and color to mosquito bites. They have been persistent since appearing.

I live by myself and have no pets.

Thank you,
Julie

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Expert:  Dr Nair replied685 days and 2 hours ago.

I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

Thank you for the information. Your history is suggestive of either persistent hypersensitivity reaction to insect bites, scabies or prurigo nodularis. Since you have been getting these bumps regularly without any obvious history of being bitten by insects, scabies needs to be ruled out. The only sure shot way of doing this is to treat for scabies and see if the symptoms resolve.

Here is what is required as treatment:

  • 5% Permethrin cream to be applied all over the body barring the face and scalp once now and once 7 days after the first application. The cream must be left on the body for 12 hours and then washed off
  • Tab Allegra 180 mg once a day + Tab Atarax 50 mg once at night for 2-4 weeks depending on itching
  • Tab Ivermectin (Stromectol) 12 mg (if body wt>60 kgs), 9 mg (if body wt<60 kgs) - taken once now and once 7 days later (take on empty stomach)
  • Wash all the clothes and linen in boiling water or the hot cycle of the washing machine.

All of the above will require a prescription and I would recommend discussing my recommendation with your GP. Till you can see the GP take Tab Claritin 10 mg twice a day and apply Sarna sensitive lotion over the bumps. Both of these are over the counter products and will help the itching.

Lastly please note that the itching of scabies takes 4 weeks to completely disappear even after successful treatment. If however you see no improvement in 2 weeks then you should try seeing a dermatologist to rule out persistent hypersensitivity to insect bite reactions and prurigo nodularis.

Hope this information is useful, please feel free to ask if you have any queries.

Customer replied684 days and 2 hours ago.

Thank you for your answer.
I wanted to update you on a development that I noticed just yesterday. The very first bump that appeared over three weeks ago, has now flattened, turned light brown (with still a faint bit of red around the edges) and stopped itching. It looks like an age spot. I have developed many brown "age" spots on my neck, torso and back within the last two years. When these first age spots apeared, I didn't notice them and they certainly didn't itch (if so only mildly) like these recent spots, which made me think that it was not related. Now I am wondering if it may be related. A handful of the age spots are actually small tags of skin. Wondering if that presentation is more like prurigo nodularis? Does this change your recommendations?

Accepted Answer

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Expert:  Dr Nair replied683 days and 23 hours ago.

I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

No not really. I would still treat for scabies first. Regards.

Expert TypeDermatologist
Category: Dermatology
Pos. Feedback: 99.0 %
Accepts: 6495
Answered: 8/5/2011

Experience: MBBS, MD (Dermatology, Venereology & Leprology)

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