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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itchy Spreading Red Spots On Hands, Arms, Legs, Knees. Black, Blue Marks In Rash Area. Thoughts?

Hi I have had a rash for over a week -- began as a single very itchy small spot on my wrist/hand that seemed like a bug bite -- spread to arms and then legs - from mid-forearm to mid upper arm and corresponding area around knees -- itchy red little bumps, splotchy red spots, and now multiple small black and blue marks in rash area on legs. Thoughts??
Wed, 5 Jun 2013
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Dermatologist,  's  Response
Hi,
It seems that you are having lichen urticatus,also known as papular urticaria.
It is hypersensitive reaction to insects.
There appears erythematous papular lesions with mild to severe itching.
Take short course of steroids in tappering dose.
Take antihistaminics till itch is relieved.
Take antibiotics , if there is secondary infection.
Avoid soap bath.
Try to protect from insects.

I hope you would be benefitted.

Best health wishes.

Dr. Ilyas Patel MD
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Itchy Spreading Red Spots On Hands, Arms, Legs, Knees. Black, Blue Marks In Rash Area. Thoughts?

Hi, It seems that you are having lichen urticatus,also known as papular urticaria. It is hypersensitive reaction to insects. There appears erythematous papular lesions with mild to severe itching. Take short course of steroids in tappering dose. Take antihistaminics till itch is relieved. Take antibiotics , if there is secondary infection. Avoid soap bath. Try to protect from insects. I hope you would be benefitted. Best health wishes. Dr. Ilyas Patel MD