Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
184 Doctors are Online

Developed elevated papules on bilateral lower extremities. Using hydrocortisone cream. Suggestion

User rating for this question
Very Good
Answered by

Practicing since : 2005
Answered : 1390 Questions
My brother in law has developed elevated papules on his billateral lower extremities. They are flesh tones, and itch. He scratches at them until they bleed. He is putting hydrocortisone cream on them, but it doesn't help. These nodules will fall off and regrow. They are solid, not fluid filled. Circulation is intact but he has decreased tactile sensation ( but he can feel that they itch). He has +2-+3 pitting edema and can't walk 10 steps without getting sob. Suggestions?
Posted Sun, 5 May 2013 in Skin Hair and Nails
Answered by Dr. Sudarshan 3 hours later

Thanks for writing in.

The condition can be insect bite,prurigo,lichen amyloidosis,venous prominences etc.

I would also know-

Does it increase in size/number?Any such lesions over arms?

Is there reduction in size on pressure over it?Does it blanch?
Since when he has this?
Is he on any medication?
Are the lesions persistent?

Can you upload images of the area?
Photos can help a lot in predicting the condition.
Upload the photos and answer the questions and we can continue the discussion here.
Till the time he can take tab Zyrtec twice daily for few days continue hydrocortisone cream for application.
Hope this helps.

I will be available for follow up.

Dr. Sudarshan
Above answer was peer-reviewed by
Follow-up: Developed elevated papules on bilateral lower extremities. Using hydrocortisone cream. Suggestion 1 hour later
I'm not sure how to post a pic. He's had these for abt 3-6 mo. He isn't on any other medications besides the hydrocortisone cream. He has no papules on his arms. They are flesh colored, so I don't believe they blanch. When they fall off, they leave an indentation that is a light pink in color. Almost looks like the color of a mostly healed scar. The nodules on the edematous leg grow in a patch of dry skin. They itch really bad, and XXXXXXX scratches them until he bleeds. They are more prominent to posterior leg then anterior. These nodules r hard to the touch and fall off leaving indentations that don't bleed.
Answered by Dr. Sudarshan 23 hours later
Hi again XXXXXXX
Photos can be uploaded by using UPLOAD YOUR REPORTS section on right side of this box.
From the description provided by you it can be lichen amyloidosis or prurigo nodularis.
These can be treated by oral +topical potent steroids, intralesional steroids,oral immunosuppresant s.Few procedures like dermabrasion /phenol application can be helpful.

Upload the images and we can narrow down the possibilities.

Awaiting your response.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor