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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spots On Lower Back, Redness, Flakiness, Dryness, Smell Of Urine, Rashes. What Could This Be?

Hi, for the past month my mother and I have been experiencing spots on our lower back near our spine, this week they have spread upwards onto our neck,head and face aswell as our legs, we also have small red flaky patches of skin. the spots are small and red and look worse when in the bath, they are particularly itchy when in bed, an antihistamine seems to calm the itching somewhat. We both work in a clothing warehouse and just before this started we started using large sacks to put parcels in, we handle these everyday and they are kept outside and sometimes smell of urine. The symptoms appeared suddenly at the same time as these sacks, we have asked co workers if they have the rash and all have spots especially on their backs and faces. Noone else in our household has the rash.what could this be?
Thu, 20 Jun 2013
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Dermatologist 's  Response
Hi, thanks for your query.
It seems that you and your mother have acquired scabies caused by mites.

Scabies can be acquired by skin to skin contact or via bedding or linen, as the mite can survive for a few days off its host. It is contagious condition and spreads from person to person. Itching is characteristically more at night.

You work with a clothing ware house where you handle sacks every day and they are kept outside where probably stray animals infected with scabies sit at night (so they sometimes smell of urine).
Since all the coworkers are affected, scabies is evident.

This can be confirmed clinically by history and microscopic examination.

You may consult a dermatologist for exact diagnosis and simultaneous treatment of all workers.

Hope this solves your query.
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Spots On Lower Back, Redness, Flakiness, Dryness, Smell Of Urine, Rashes. What Could This Be?

Hi, thanks for your query. It seems that you and your mother have acquired scabies caused by mites. Scabies can be acquired by skin to skin contact or via bedding or linen, as the mite can survive for a few days off its host. It is contagious condition and spreads from person to person. Itching is characteristically more at night. You work with a clothing ware house where you handle sacks every day and they are kept outside where probably stray animals infected with scabies sit at night (so they sometimes smell of urine). Since all the coworkers are affected, scabies is evident. This can be confirmed clinically by history and microscopic examination. You may consult a dermatologist for exact diagnosis and simultaneous treatment of all workers. Hope this solves your query.