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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Rash On Torso, Back And Arms That Is Spreading?

My teenager (daughter) has a rash on her torso with some spread to her back and arms. Its been going on for a while but has gotten worse. It itches badly. They are tiny bumps, lightly red. At first it looked like perhaps a bug bite but since they appear at all times and are spreading that doens't seem likely.
Wed, 19 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

Extremely itchy rash/bumps involving the trunk, arms and legs can be due to scabies.
In scabies the lesions resemble insect bites and are distributed over the torso, arms and legs; specially inner thighs, axilla and chest, finger webs etc.
Family history of similar lesions and itching can be a significant clue towards scabies.
If I was the treating doctor I would like to treat her empirically for scabies with Single whole body application of 5% Permethrin lotion, kept overnight for 8 hours, followed by scrub bath next day.
An OTC oral antihistamine e,g cetrizine 10 mg once daily would provide symptomatic relief from itching.

Regards
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How To Treat Rash On Torso, Back And Arms That Is Spreading?

Hello. Thanks for writing to us at healthcaremagic Extremely itchy rash/bumps involving the trunk, arms and legs can be due to scabies. In scabies the lesions resemble insect bites and are distributed over the torso, arms and legs; specially inner thighs, axilla and chest, finger webs etc. Family history of similar lesions and itching can be a significant clue towards scabies. If I was the treating doctor I would like to treat her empirically for scabies with Single whole body application of 5% Permethrin lotion, kept overnight for 8 hours, followed by scrub bath next day. An OTC oral antihistamine e,g cetrizine 10 mg once daily would provide symptomatic relief from itching. Regards