Hello there. All itch is not scabies! Nocturnal pruritus can have many causes including Hodgkin s lymphoma but yes Scabies is by far the most common. Scabies typically involves the extensors & the web spaces & sites like the elbows & wrists are more often involved than not. It persists throughout the day & worsens at night. At night, any itch is heightened in my august opinion because one is not busy & the brain focuses more on it! Please do visit a dermatologist nearest you & feel free to use this HCM website to source one out. If in Bangalore, please feel to drop in on me at Vikram hospital. It may require a battery of simple tests to aid the diagnosis. Does anyone else in your family/vicinity/work-space/close environment & in contact with you have a similar rash? If so, it points more to an infection like scabies. Do get back to me with answers to the questions & we can take it from there. In the interim, do use a 180mg tablet of fexofenadine taken once a day to allay the itch. Wish you a clear skin soon. Dr Praveen Rodrigues MD