Skin Allergies: Symptoms, Causes, and When to Seek Help - Dermatology

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Skin allergy


Hello doctor, I have been experiencing diarrhea for a week (once a day), but I do not have abdominal pain.
I have also had itchy skin for the past week, which, when scratched, develops small red, swollen patches that feel somewhat rough.
There is a red, swollen, peeling area on the skin under my eyes, but it has been gradually improving recently.
Could this possibly be a type of dermatitis? (I have a mild allergic constitution.) A few days ago, when the air pollution was severe, I even experienced difficulty breathing, and I get short of breath even after climbing a few stairs.
Today, I inexplicably felt tingling in my scalp and back about 5 or 6 times (the tingling was brief).
What could these symptoms indicate? Should I seek medical attention? Thank you.

lulu, 10~19 year old female. Ask Date: 2016/11/22

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2016/11/22

More Info


Understanding skin allergies and their associated symptoms can be quite complex, especially when multiple symptoms are present, as in your case. Skin allergies can manifest in various forms, including rashes, itching, redness, and even swelling. Given your symptoms of persistent itching, the development of small red bumps, and the rough texture of your skin, it is essential to consider several potential causes and when to seek medical help.


Symptoms of Skin Allergies
Skin allergies often present with symptoms such as:
1. Itching: This is one of the most common symptoms and can range from mild to severe.

2. Redness and Swelling: Allergic reactions can cause localized swelling and redness, which may feel warm to the touch.

3. Rashes: These can appear in various forms, including hives (urticaria), eczema, or contact dermatitis.

4. Dryness and Flaking: Skin may become dry and flaky, particularly in areas affected by eczema or other dermatitis.

5. Bumps or Blisters: Some allergic reactions can lead to the formation of small bumps or blisters that may ooze or crust over.


Possible Causes
Given your description, several potential causes for your symptoms could be considered:
1. Contact Dermatitis: This occurs when the skin comes into contact with an allergen or irritant, leading to localized inflammation. Common triggers include soaps, detergents, cosmetics, or even certain fabrics.

2. Atopic Dermatitis (Eczema): If you have a history of allergies, you may be prone to eczema, which can cause dry, itchy patches of skin that may become red and inflamed.

3. Urticaria (Hives): This is characterized by raised, itchy welts on the skin, often triggered by allergens, stress, or even temperature changes.

4. Systemic Allergic Reactions: Given your mention of respiratory difficulties and a history of mild allergies, it’s possible that your skin symptoms are part of a broader allergic reaction, potentially linked to environmental factors like air pollution.

5. Infections: Sometimes, skin infections can mimic allergic reactions, leading to redness, swelling, and itching.


When to Seek Medical Help
You should consider seeking medical attention if:
- Your symptoms persist or worsen despite home care measures.

- You experience significant swelling, particularly around the eyes or lips.

- You develop additional symptoms such as fever, chills, or widespread rash.

- You have difficulty breathing or experience wheezing, as these could indicate a more severe allergic reaction.


Management and Treatment
1. Avoid Triggers: Identifying and avoiding known allergens is crucial. Keeping a diary of your symptoms and potential triggers can help.

2. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. Moisturizers can also alleviate dryness.

3. Antihistamines: Oral antihistamines can help manage itching and reduce allergic reactions.

4. Prescription Medications: If over-the-counter treatments are ineffective, a healthcare provider may prescribe stronger topical steroids or other medications.

5. Lifestyle Modifications: Maintaining a humid environment, using gentle skin care products, and avoiding hot showers can help manage symptoms.


Conclusion
Your symptoms of skin itching, redness, and the recent respiratory issues suggest a possible allergic reaction or dermatitis. Given your history of mild allergies and the persistence of your symptoms, it is advisable to consult a dermatologist or an allergist for a thorough evaluation. They can provide a definitive diagnosis and tailored treatment plan to help manage your symptoms effectively. Remember, early intervention can prevent the progression of skin conditions and improve your quality of life.

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