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What Causes Small Itchy Patches On Wrist, Buttocks And Thighs?

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Posted on Wed, 6 Apr 2016
Question: Hi there,
I woke this morning with a small itchy patch on my wrist which I thought must be a mosquito bite. I then found an itchy patch on my buttocks which ended up spreading all over and down the backs of my buttocks and thighs, and was insanely itchy! Smaller patches also appeared on my wrists and arms and lower legs.
I'm assuming that it is hives, but I can't think what might have set it off as it only seemed to appear when I woke up and I hadn't eaten anything or been in contact with anything.
I took a Loratadine tablet around 9:30am which seemed to ease the itching and stopped the itchy rash spreading, but the itching and swelling seems to be returning. The Loratadine tablets are only meant to be taken once daily (as per the packet instructions). Would it be okay to take another one, or to take something else like a Zyrtec?

Thanks for your help! XXXXXXX
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
You need to get reviewed in ER for anti anti histamine and steroid shot

Detailed Answer:
Hi! Welcome to Health Care Magic!
Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, I'm sorry to hear what you had gone through. Based on the history you have shared, it seems like Hives or contact dermatitis and may have triggered due to exposure to some allergen which at this stage is difficult to be isolated.

More supportive evidence to this diagnosis is that you got relief with anti histamine or anti allergic medications.

As far as this condition goes, you can either continue using Loratidine or you can switch to Zyrtec(cetirizine) which are all new generation anti histamines and have less sedative side effects. 10mg twice a day dose for the next 3-5 days can be given in acute settings or disease presentations.

Meanwhile if symptoms increase which initially did increase in your case, you can consider consulting nearby medical facility and get reviewed and if needed a shot of anti-histamines with or without steroid like Hydrocortisone Injectables can be given for a better and faster recovery.

When acute symptoms settle down consult an allergy specialist and run hypersensitivity skin tests to isolate allergens and to remain cautious towards their exposure in future to avoid this troublesome.

Wishing you a speedy recovery.
If you have any more questions, feel free to ask.

Regards.
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
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Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Causes Small Itchy Patches On Wrist, Buttocks And Thighs?

Brief Answer: You need to get reviewed in ER for anti anti histamine and steroid shot Detailed Answer: Hi! Welcome to Health Care Magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, I'm sorry to hear what you had gone through. Based on the history you have shared, it seems like Hives or contact dermatitis and may have triggered due to exposure to some allergen which at this stage is difficult to be isolated. More supportive evidence to this diagnosis is that you got relief with anti histamine or anti allergic medications. As far as this condition goes, you can either continue using Loratidine or you can switch to Zyrtec(cetirizine) which are all new generation anti histamines and have less sedative side effects. 10mg twice a day dose for the next 3-5 days can be given in acute settings or disease presentations. Meanwhile if symptoms increase which initially did increase in your case, you can consider consulting nearby medical facility and get reviewed and if needed a shot of anti-histamines with or without steroid like Hydrocortisone Injectables can be given for a better and faster recovery. When acute symptoms settle down consult an allergy specialist and run hypersensitivity skin tests to isolate allergens and to remain cautious towards their exposure in future to avoid this troublesome. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.