Suggest Remedies For Itchy Rashes On The Arms In A Diabetic
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Thu, 16 Mar 2017
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Thu, 16 Mar 2017
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Fri, 7 Apr 2017
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : I am diabetic and devolved a rash on both arms itching, bleeding, heals up scab's, need help
                            
                                    Brief Answer:
Please give additional information and post clear photographs.
Detailed Answer:
Hi.
Thanks for your query, short and specific.
TO recapitulate: Male/64 - diabetes, developed a rash on both the arms - itching - bleeding - heals up with scabs - tried Bacitracin zinc - also noted the current medications, Medical history ...
Please give me additional information so that I can assist you better:
Since when is this rash on arms?
Since when are you suffering from diabetes and is it under control at the moment?
Was itching started after a specific medications was started?
Any other history that you would like to share.
Please post clear and focused photographs as it helps for on-the-spot diagnosis in some cases.
                                    
                                    
                                    
                                    
                                    
                            Please give additional information and post clear photographs.
Detailed Answer:
Hi.
Thanks for your query, short and specific.
TO recapitulate: Male/64 - diabetes, developed a rash on both the arms - itching - bleeding - heals up with scabs - tried Bacitracin zinc - also noted the current medications, Medical history ...
Please give me additional information so that I can assist you better:
Since when is this rash on arms?
Since when are you suffering from diabetes and is it under control at the moment?
Was itching started after a specific medications was started?
Any other history that you would like to share.
Please post clear and focused photographs as it helps for on-the-spot diagnosis in some cases.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Since when is this rash on arms? 4 days ago
Since when are you suffering from diabetes and is it under control at the moment?
Yes it is, current reading 130mmg just got done eating boiled chicken soup.
Was itching started after a specific medications was started? no been taken same meds for 6 months now.
nothing follows ---------
                                
                            Since when are you suffering from diabetes and is it under control at the moment?
Yes it is, current reading 130mmg just got done eating boiled chicken soup.
Was itching started after a specific medications was started? no been taken same meds for 6 months now.
nothing follows ---------
                                    Brief Answer:
Awaiting
Detailed Answer:
Thanks for your feedback.
I'm still waiting for the pictures.
Please attach again with this query.
Awaiting..
                                    
                                    
                                    
                                    
                                    
                            Awaiting
Detailed Answer:
Thanks for your feedback.
I'm still waiting for the pictures.
Please attach again with this query.
Awaiting..
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.   Arnab Banerjee
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi, I have provided some attachments. Please review them.
                                
                            
                                    Brief Answer:
As detailed below.
Detailed Answer:
Thanks for the clear pictures.
This looks to be allergic dermatitis/eczema super-added with abrasion and bleeding caused by scratching which has to be avoided as you are diabetic.
I would advise you the following in such a situation:
Apply Liquid Povidone iodine to the affected area once or twice a day to avoid secondary infection due to breach in continuity in skin. First apply a small patch to the affected area to have skin test to see whether it suits the skin or not.
Take an antihistamine like Cetirizine 10mg once daily at bedtime for next 5 days.
Avoid soaps or such things containing chemicals to avoid worsening.
Antibiotic only if the infection is more evident.
It is better to take an opinion of a Dermatologist as an actual examination gives best possible diagnosis to have additional management, avoid other local applications till then as it changes the character of the disease/disorders and makes it difficult to have proper clinical diagnosis.
As mentioned earlier, it's extremely important to keep diabetes in control by regular blood sugar tests as well as get HbA1C to see the progress in the last 3 months.
Try to use pure cotton clothes as synthetic clothes can enhance the problems once the sensitization occurs.
Make sure the sofa and bed linen does not have mites, dust.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Regards
                                    
                                    
                                    
                                    
                                    
                            As detailed below.
Detailed Answer:
Thanks for the clear pictures.
This looks to be allergic dermatitis/eczema super-added with abrasion and bleeding caused by scratching which has to be avoided as you are diabetic.
I would advise you the following in such a situation:
Apply Liquid Povidone iodine to the affected area once or twice a day to avoid secondary infection due to breach in continuity in skin. First apply a small patch to the affected area to have skin test to see whether it suits the skin or not.
Take an antihistamine like Cetirizine 10mg once daily at bedtime for next 5 days.
Avoid soaps or such things containing chemicals to avoid worsening.
Antibiotic only if the infection is more evident.
It is better to take an opinion of a Dermatologist as an actual examination gives best possible diagnosis to have additional management, avoid other local applications till then as it changes the character of the disease/disorders and makes it difficult to have proper clinical diagnosis.
As mentioned earlier, it's extremely important to keep diabetes in control by regular blood sugar tests as well as get HbA1C to see the progress in the last 3 months.
Try to use pure cotton clothes as synthetic clothes can enhance the problems once the sensitization occurs.
Make sure the sofa and bed linen does not have mites, dust.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Regards
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.   Arnab Banerjee
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                