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Suggest Treatment For Chronic Itching On The Hands And Legs

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Posted on Fri, 3 Feb 2017
Question: My mother aged 95 yrs.is suffering from skin diseases in both the legs and hands and all over the body.This she has been suffering since 15-20 yrs.She is feeling itching and she is scratching her both the hands and both the legs.These portion of her hands and legs has become black.When asked not to do it she is not listening and doing the same things.Many a times we had shown her to skin specialists.One skin specialist diagnosed it as skin cancer and asked to remove those portion by surgery and asked to do it in a hospital.Second time he asked to do the same again but in different part of leg from another hospital and we did it and the surgeon asked us to do the surgery again so that he will do it for the larger area of leg and remove it all together. After an year or two we showed it to a different skin specialist and he said it is not skin cancer and it is because my mother is scratching the legs and hands and because she does repeatedly during day and night,that part of skin has bulged and it looks like cancer and it is not cancer and he gave the medicines.But my mother never stopped scratching it and on telling no she says she feels itching sensation and because of that she does like that.Doctor gave the medicine for itching and she takes the medicine and does scratching.She applies what ever is available to her like sikakai powder and even lime powder also.
She is suffering from nerve problems and her back bone has bended and unable to walk and walks with difficulty.Now she is saying worms are sprawling through her hands and legs and by applying sikakai powder she is able to remove those worms.She says lot of worms has gone.In fact no worm has come out.But from the beginning she has the habit of scratching both the legs and hands with soap and sikakai while taking daily bath.We asked her not to apply soap or sikakai so that the wounds developed because of scratching could heal when applied medicines.But she is not listening and does this daily while taking bath.I feel very pity for her condition and asking for advice.
doctor
Answered by Dr. Dr. BR Hudda (5 hours later)
Brief Answer:
Please provide little bit more information and a photograph

Detailed Answer:
Hello,
Welcome to Health Care Magic, I have gone through your question very diligently and I really appreciate your concern.

At the outset I would like further information for better assessment of the condition like -
If possible, please upload/attach a photograph of some of the affected areas. You can simply attach/upload it at the reports section.

Is she taking any medicine for any other disease like diabetes or heart disease ?
Does itching occur in webspace areas of finger and toes (area in between the fingers and toes) ?
Is any other member in the family having the same problem ?


I would advice you to give her anti-allergic drugs like Fexofenadine or Levocetirizine group of drugs twice daily (you may need to obtain prescription from your local physician).

Use antiseptic powder or ointment to be applied on scratched area to avoid infection.
Calamine powder can be used in between especially when itching increases.

As far as worms is concerned if you didn't find any visible worm than it might not be there, to be on safer side I would also advice her for deworming with Albendazole (prescription drug) group of drugs.

If all these drugs doesn't work, then in my opinion you should go for certain investigations like CBC, ESR, AEC (absolute eosinophil count), Liver function test and blood sugar test and/or a skin biopsy if need be.

Please write back to me with these details I have asked for, So that I'll be able to opine more specifically on this.

Awaiting....
Wishing her a good health
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. BR Hudda (16 hours later)
Hi, I have provided some attachments. Please review them.


I have sent you the photos of affected areas in legs and hands for your verification.She is not taking any medications for either diabetes or BP.Her sugar on fasting is 75 and BP is normal.The itching and resultant skin turned black is not between fingers and toes.Doctor has given some tablets for itching and in spite of taking it she scratches the hands and legs.Let me specify anti allergic drug to be taken.The worms which she says is not because of worms which you insist for deforming. Any how I will give the tablets for deforming. No one in the family have these problems.I will advise her to apply calamine powder as advised by you.She has a flair for applying any powder or ointment and will say she got relief from it but this relief is temporary.I will do the tests as prescribed by you.In the meantime you go through the photos of affected areas and let me know what it is.I am asking you is it because of nerve degeneration and because of tingling in the hands and feet she feels worms are moving.
Please advice me
doctor
Answered by Dr. Dr. BR Hudda (4 hours later)
Brief Answer:
Fexofenadine or levocetirizine is recommended as anti allergic

Detailed Answer:
Hello
Welcome again and thanks a lot for uploading the photos.

I have gone through all the photographs, you have uploaded. Image 174136 and 174301 is suggestive of blackening and redness in between due to scratching.

Please encourage her to take anti allergic drug for itching that will reduce urge for scratching. You can give her Fexofenadine or Levocetirizine twice daily both are equally effective.

Do get all the investigations done as suggested in my previous reply.

I would advise you to apply Terbenafine ointment to be applied locally, calamine powder in between (you may need to obtain prescription for this from your local physician).

Tingling sensation might be related to nerve degeneration or vitamin B12 deficiency, which she is experiencing as worms are moving.

Deworming is also advisable.

Calcium and vitamin B 12 supplement for never degeneration disorder is recommended.

Hope this answers your question please feel free to ask for follow up question I will gladly answer you.

Best wishes
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 3004 Questions

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Suggest Treatment For Chronic Itching On The Hands And Legs

Brief Answer: Please provide little bit more information and a photograph Detailed Answer: Hello, Welcome to Health Care Magic, I have gone through your question very diligently and I really appreciate your concern. At the outset I would like further information for better assessment of the condition like - If possible, please upload/attach a photograph of some of the affected areas. You can simply attach/upload it at the reports section. Is she taking any medicine for any other disease like diabetes or heart disease ? Does itching occur in webspace areas of finger and toes (area in between the fingers and toes) ? Is any other member in the family having the same problem ? I would advice you to give her anti-allergic drugs like Fexofenadine or Levocetirizine group of drugs twice daily (you may need to obtain prescription from your local physician). Use antiseptic powder or ointment to be applied on scratched area to avoid infection. Calamine powder can be used in between especially when itching increases. As far as worms is concerned if you didn't find any visible worm than it might not be there, to be on safer side I would also advice her for deworming with Albendazole (prescription drug) group of drugs. If all these drugs doesn't work, then in my opinion you should go for certain investigations like CBC, ESR, AEC (absolute eosinophil count), Liver function test and blood sugar test and/or a skin biopsy if need be. Please write back to me with these details I have asked for, So that I'll be able to opine more specifically on this. Awaiting.... Wishing her a good health Kind Regards