Persistent Itching and Skin Changes on the Back

Q: Persistent Itching and Skin Changes on the Back

Hello： Based solely on the textual description, it is not possible to accurately diagnose a skin condition, especially considering your age of 75 years. <br>Some long-standing lesions may have the potential for changes. <br>It is advisable to consult a dermatologist for diagnosis

Skin issues

Hello Dr.
Lee, I have a specific area on my back, about the size of a 5 cm square, that often feels very itchy.
The skin doesn't seem to have any abnormalities.
Recently, my family examined it closely and noticed a small, slightly raised spot that resembles a seborrheic keratosis, which is almost imperceptible.
The color of this spot is slightly darker than the other seborrheic keratoses.
I frequently feel intense itching and have to scratch it to feel comfortable.
I'm unsure of the cause and whether I can apply something to it.
The persistent itching in this fixed area is quite bothersome.
I would appreciate your advice.
Thank you for your response!

Mei Mei, 70~79 year old female. Ask Date: 2020/10/30

Dr. Li Yufen reply Dermatology

Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition, especially considering your age of 75 years.
Some long-standing lesions may have the potential for changes.
It is advisable to consult a dermatologist for diagnosis and treatment if the skin symptoms do not improve or worsen.
Thank you!

Reply Date: 2020/10/30

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the persistent itching and changes in your skin on your back. Based on your description, it sounds like you may be experiencing a localized dermatological issue that could be related to several factors, including skin conditions, allergies, or even irritants in your environment.

The persistent itching you describe, particularly in a fixed area, could be indicative of several conditions. One possibility is a form of dermatitis, which can occur due to contact with an irritant or allergen. This could be anything from laundry detergents, soaps, or even fabrics that your skin may be sensitive to. Another possibility is a condition known as prurigo nodularis, which is characterized by itchy nodules that can develop from chronic scratching.

The small, slightly raised spot you mentioned, resembling an age spot but darker, could also be a seborrheic keratosis or a benign skin growth. These are common as we age and can sometimes become itchy, especially if they are irritated by clothing or scratching. However, it is essential to differentiate between benign conditions and those that may require further evaluation, such as skin cancers or other dermatological issues.

In terms of management, here are a few recommendations:
1. Moisturization: Keeping the affected area well-moisturized can help alleviate itching. Look for fragrance-free moisturizers that are designed for sensitive skin.

2. Topical Steroids: If the itching is severe, a mild topical corticosteroid cream may help reduce inflammation and itching. However, it is crucial to use these under the guidance of a healthcare provider, especially if you have sensitive skin or are considering applying it to a newborn's skin.

3. Avoid Scratching: While it may be tempting to scratch the area for relief, this can lead to further irritation and potential skin damage. Consider using cold compresses to soothe the itch instead.

4. Identify Triggers: Pay attention to any potential triggers that may be causing your symptoms. This could include new soaps, detergents, or even stress, which can exacerbate skin conditions.

5. Consult a Dermatologist: Given the persistent nature of your symptoms and the changes in your skin, it would be wise to consult a dermatologist. They can perform a thorough examination and may recommend a biopsy or other tests to rule out any serious conditions.

6. Avoid Harsh Products: Steer clear of harsh soaps, scrubs, or any products that may further irritate your skin. Opt for gentle, hypoallergenic products.

7. Sun Protection: If the area is exposed to sunlight, ensure you are using sunscreen to protect it from UV damage, which can exacerbate skin issues.

In conclusion, while there are several potential causes for your symptoms, a thorough evaluation by a healthcare professional is essential to determine the exact nature of your condition and the most appropriate treatment. Persistent itching and skin changes should not be ignored, and early intervention can often lead to better outcomes.
Take care, and I hope you find relief soon!
Best regards.

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