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What Causes Itching All Over Body And Eczema

Posted on Sat, 4 Apr 2015

Question: i'm suffering with itching all over the body particulary on the abdomen fore arms elbow folds, behind the knees over the shoulders, my doctor told it is scabies and prescribed treatment after a week there was no change and reconsulted him he said it is not scabies but ecazema and prescribed dermadew caloe lotion and DMAX soap. IS he treating the right way should i consult another doctor. Also before this doctor i have been to another doctor for 6 months he was continuously treating for fungus which didnt show any results i'm confused and scared if my condition continues to be same... please suggest what would be better for me... what Medicine should i use

Answered by Dr. Hardik Pitroda (15 hours later)

Brief Answer:
Pictures and history requested

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin lesions and I have reviewed your history and pictures.
I am sorry to say that the pictures, you have posted is not of very good quality and are taken from very close distance.
Therefore, I insist you to post good clinical pictures from different angles and distance so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.
Apart from pictures, I would insist you to provide following points of history:

1. Total duration of skin rash
2. Anybody in family /roommates/colleagues having similar itching or rash?
3. Is itching more during night?
4. Any itching over genitals?

Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Hardik Pitroda (2 days later)

i connot get pictures better than that cant afford an slr or clinical cams :P
please find answers in line:
1. Total duration of skin rash
past 8 months 7 months anti fungal were prescribed last month scabies treatment is prescribed.
2. Anybody in family /roommates/colleagues having similar itching or rash?
no one have this problem
3. Is itching more during night?

its very high during night and day
4. Any itching over genitals?
yes high on the buttoks and the space between 2 buttocks

Answered by Dr. Hardik Pitroda (15 hours later)

Brief Answer:
Oral Ivermectin, Itraconazole, topical permethrin and antifungals

Detailed Answer:
Considering the history, I would like to treat you for both Scabies and Tinea.

I usually suggest my patients with similar complaints with the following line of management. Please discuss with your dermatologist about these drugs and get them prescribed accordingly.

1.tablet Ivermectin 12 mg once every week empty stomach for 3 weeks.

2. Applying Permethrin 5% cream cream below neck onwards to cover whole body. Washing it off with lukewarm water after 8-10 hours. Repeat the above procedure after 15 days.

3.The key to successful treatment of scabies lies in treating everyone simultaneously in the family and others who are in close physical contact.

4. Also,oral Itraconazole 200mg once daily for 3 weeks.

5. Applying a cream containing betamethasone and sertaconazole twice a day over affected skin for 10-12 days and after that switch over to plain sertaconazole cream till next follow up.

6. Taking antihistaminics as advised would help to relieve itching and irritation.

7.Avoid sharing of clothing and toiletries and launder all you bedding and clothes in warm water.

Do get back to me after discussing the same with your doctor and let me know about the improvement.

I am sure this will take care of your problem.
Thank you
Dr Hardik Pitroda

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Shanthi.E