Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

Itchy bumps on the arms, legs and ankles. Not responding to steroid creams. Why?

I have recurrent, itchy bumps occuring in a bilateral pattern on various parts of my body (arms, legs, torso, ankles) that initially appear as a singular small bump. If left alone, they disappear in 3-5 days. If scratched, they can spread to an area of up to 6 inches in diameter. The itching is intense and has not responded to any OTC or topical steriod . What is this?
Asked On : Sat, 17 Nov 2012
Answers:  1 Views:  472
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
General & Family Physician 's  Response
Dear Concerned.,
Thanks for writing to us.
You have a predominantly itching type of lesions.

A)The urticarial rashes you are describing could be due to "Food allergy" and the offending agent has to be eliminated.Are you taking any unusual "Sea food".
B)The other possibility could be due to Intestinal Helminthiasis which causes Cutaneous Allergic reaction. It could be treated by Antihelminthic medication and application of Cream of Calamine over the affected area.
C)In all likelihood it could be "Scabies"also ,the maculopapular rashes with shining surface is the characteristic lesion.The lesions will get secondarily infected with Streptococci.The use of OTC Steroids will aggravate the conditon as it will initially suppress and masks all the symptoms.So please avoid OTC -Topical steroids.
The condition is caused by a microscopic parasite called "sarcopetes scabei" which burrows in the skin folds to lay eggs and the toxin released by the rupture of eggs by scratching causes itching reaction and rashes and swelling.
Lotion of Benzyl Benzoate /Lindane Lotion/Crotamiton Lotion applied overnight and taking bath in the morning for a few days will cure ths condition.There has to be community treatment/all in the family have to be treated.The clothing will also need to be disinfected and washed with hot water.
D)In the rarest of rare cases "Sarcoidosis" may present in the above manner for which Blood Levels of ACE(Angiotensin Converting Enzyme ) levels of more than 250, in addition to Kweim's Intradermal Test will be confirmatory in addition to skin biopsy.

If the above diagnosis have been excluded kindly consult an Internal Medicine Specialist/ Dermatologist for pin point at a Diagnosis after investigations and institute an evidence based therapy.

Wishing you a speedy recovery.,
Best Regards,
Dr Lt Cdr ASN Bhushan.
Answered: Sat, 17 Nov 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor