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Persistent rash, itching, hives, bleeding on scratching. Treatment for rash?

Hi I have had a rash , with severe itching for more than 5 weeks now, i am plastered with Pimples , perhaps hives may be a better name, from my feet to my neck, my first GP said a severe allergy , the next hid behind his desk and said scabies , he gave me a RX for melathion off the market for years, thenPermathin, the chemist said there was NO way it was scabies, i sleep in the same bed as my wife, she has helped me pout the cream on, and has no sign of the infection. I saw the remaining GP who said he did not know so would give me the same as GP no 2, i am still itching severerly, and bleeding through my scratching, heat affects me terribly, can you help me please i am desperate.
Asked On : Mon, 4 Feb 2013
Answers:  2 Views:  194
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Diseases and Conditions
Dermatologist 's  Response
Hello dear,
as correctly mentioned by you, it is hives. that is urticaria.
this is an allergic disorder, you must be sensitized to some particular thing which you wear , or some change in food etc.
there is no permanent cure to this, you must find out the cause, that is to what thing you are allergic.
that will be the only cure.

for symptomatic relief you may take antihistamine like cetrizine .
thank you
Answered: Tue, 5 Feb 2013
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General & Family Physician Dr. Nsah Bernard's  Response
Dec 2012
Hello Alan,

Welcome to HCM and thanks for posting your query

It will be quite difficult to give an impression about your problem without actually seeing your lesions and given the fact that 3 doctors have already seen the lesions. Non the less, I will try to throw more light on your problem by giving my own impressions.
Per your description, one will immediately think of scabies * location of itchy rashes from neck till feet (typical presentation of scabies). We rule out allergy because of limitations away from the head (allergies are usually diffused-completely in entire body or restricted to specific regions of the body -arms, legs, head etc depending on the cause of allergy).
If I could get more information about the color, consistency, demarcations -rings?, linear?, parallel? etc, distribution (already mentioned), areas of high concentration, level above the skin level (macula, papula, pustula, vesicula etc) etc.
It could be scabies that is not properly treated with proper medications as the two molecules you mentioned are no longer approved for usage because of their various defects. Benzyl benzoate 10% is recommended for a 24hrs application. Remember that it is very possible to be having scabies and your wife is not manifesting the condition. You might require antibiotics prescribe by a doctor or dermatologists if scabies is infected. Other medications to alleviate itching might be required.
If you are not on any drugs, then drug reaction is ruled out.
If allergy (red diffused hives on entire body including the face), then appropriate antihistamines need to be given or corticosteroids to alleviate.
Other possible causes of your itchy rashes is prurigo (require hydrocortisone cream), dermatitis/eczema, systemic diseases such as diabetes, kidney diseases, autoimmune diseases etc.
Scratching might cause superinfection of the rashes and hence a course of antibiotics.
I recommend consultation with a dermatologist as you must have noticed that skin diseases can be problematic in diagnosing by most doctors.

Hope this helps

Answered: Tue, 5 Feb 2013
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