Skin Allergies: Causes, Symptoms, and Treatments - Dermatology

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Skin allergy


Hello Dr.
Cheng, I have developed many small rashes on my arms and calves recently, which resemble goosebumps, and they are very itchy.
If I can't resist scratching the itchy areas, the spots become raised and even itchier.
These rashes only appear on my hands and feet, and not on the rest of my body.
This condition has persisted for two weeks.

Ken, 30~39 year old female. Ask Date: 2001/03/17

Dr. Zheng Lizhen reply Dermatology


Based on your description, your condition may be urticaria.
There are many potential triggers for urticaria, including food, medications, emotional stress, and changes in temperature.
You will need to take medication to manage the condition for a period of time.
Additionally, it is advisable to limit your intake of foods containing dyes, preservatives, and other food additives, as this may help improve your urticaria.
Please visit a nearby dermatology clinic for treatment.

Reply Date: 2001/03/17

More Info


Hello! It sounds like you’re experiencing a frustrating skin condition, and I’m here to help you understand what might be going on. Skin allergies can manifest in various ways, including rashes, hives, and itchiness, and they can be triggered by a multitude of factors. Let’s break down the potential causes, symptoms, and treatments for your situation.


Causes of Skin Allergies
1. Allergens: Common allergens include certain foods, medications, pet dander, pollen, and dust mites. In your case, if you’ve recently changed your diet or come into contact with new substances (like soaps, lotions, or fabrics), these could be potential triggers.

2. Environmental Factors: Changes in weather, exposure to irritants (like harsh chemicals), or even temperature fluctuations can lead to skin reactions. For instance, if you’ve been sweating more due to heat and then exposed your skin to cold water, this could cause irritation.

3. Skin Conditions: Conditions like eczema or psoriasis can also cause itchy, bumpy skin. These are chronic conditions that may flare up due to stress, changes in weather, or irritants.

4. Insect Bites: Sometimes, what appears to be a rash could actually be a reaction to insect bites. If you’ve been outdoors more frequently, this could be a possibility.


Symptoms
From your description, it seems like you’re experiencing:
- Itchy Bumps: These could be hives or a rash. Hives are often raised, itchy welts that can appear suddenly and may change shape and location.

- Skin Changes: The fact that scratching leads to more irritation and possibly larger welts suggests that your skin is reacting to the irritation.

- Localized Reaction: The fact that this is occurring primarily on your arms and legs could indicate a localized allergic reaction or irritation.


Treatments
1. Avoid Scratching: While it’s tempting to scratch itchy areas, doing so can worsen the irritation and lead to secondary infections. Try to keep your nails short and consider wearing gloves if necessary.

2. Moisturizers: Applying a fragrance-free moisturizer can help soothe dry, irritated skin. Look for products that contain ceramides or hyaluronic acid, which can help restore the skin barrier.

3. Antihistamines: Over-the-counter antihistamines (like diphenhydramine or cetirizine) can help reduce itching and allergic reactions. These medications work by blocking histamine, a substance in the body that causes allergic symptoms.

4. Topical Corticosteroids: If the itching and inflammation are severe, a topical corticosteroid cream may be beneficial. These creams can reduce inflammation and alleviate itching. However, they should be used under the guidance of a healthcare provider.

5. Cold Compresses: Applying a cold compress to the affected areas can help reduce itching and inflammation.

6. Consult a Dermatologist: Since your symptoms have persisted for two weeks, it’s advisable to consult a dermatologist. They can provide a thorough examination, possibly perform allergy testing, and recommend a tailored treatment plan.


Conclusion
Skin allergies can be complex, and their management often requires a multifaceted approach. It’s essential to identify the underlying cause of your symptoms to effectively treat them. Keeping a diary of your symptoms, including any new products you’ve used or foods you’ve eaten, can be helpful for your healthcare provider in determining the cause. Remember, while some skin conditions can resolve on their own, others may require medical intervention. Don’t hesitate to seek professional help to ensure you receive the appropriate care for your skin.

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