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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Systemic Itchiness On Wrist. Looks Allergic Reaction. My Partner Has Red Wrist. Practicing PT. Suggestions?

I have systemic itchiness that started about 3 weeks ago on my right wrist. There were bumps that looked like an allergic reaction that settle and return depending on how much I scratch. There are tiny red bumps elsewhere on my body (stomach, back, legs) that are very itchy. There were tiny dry skin/white marks on my wrist/hand that almost looked like scabie trackings. I have not changed my diet, nor soap/clothes/environment etc. in the last few months. My boyfriend also has a red/itchy wrist that isn't subsiding. He is a physical therapist and I am a PT student so we are in contact with other people. Any help would be appreciated! Thanks!
Mon, 27 May 2013
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Dermatologist 's  Response
Hi
Thanks for your query

From your clinical picture, it looks like you and your friend are having scabies.

Scabies is a mite infestation presenting with itching papular lesions all over the body , mainly over abdomen,finger web spaces, thigh and genitilia.
It usually causes more itching at night .
It is a contagious condition, so proper treatment of the patient and the contacts has to be done.
You need to apply 5 percent permethrin cream all over your body.
Single application of this cream all over the body below the neck is to be done.
Apply it at night, leave it overnight, take bath the next morning.
Use crotamiton cream from the next day twice a day over the affected areas.
Take antihistamines like levocetrizine for itching.
You have to take care also to disinfect all your clothes and beddings by washing them in warm water and drying them in sun.

And also find out, if anybody else other than your friend, from your family has similar lesions or itching, then they should also be treated.

Wishing you speedy recovery

Dr Geetika Paul
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Have Systemic Itchiness On Wrist. Looks Allergic Reaction. My Partner Has Red Wrist. Practicing PT. Suggestions?

Hi Thanks for your query From your clinical picture, it looks like you and your friend are having scabies. Scabies is a mite infestation presenting with itching papular lesions all over the body , mainly over abdomen,finger web spaces, thigh and genitilia. It usually causes more itching at night . It is a contagious condition, so proper treatment of the patient and the contacts has to be done. You need to apply 5 percent permethrin cream all over your body. Single application of this cream all over the body below the neck is to be done. Apply it at night, leave it overnight, take bath the next morning. Use crotamiton cream from the next day twice a day over the affected areas. Take antihistamines like levocetrizine for itching. You have to take care also to disinfect all your clothes and beddings by washing them in warm water and drying them in sun. And also find out, if anybody else other than your friend, from your family has similar lesions or itching, then they should also be treated. Wishing you speedy recovery Dr Geetika Paul