Skin Itching and Organ Degeneration: A Guide for Families

Degeneration of the skin's sensory receptors?

My sister has recently been experiencing a sensation on her skin that feels like insects crawling all over her body, and her breasts and genitalia are gradually shrinking and degenerating.
There are only three sisters left in the world relying on each other, and seeing my sister suffer from this unknown illness is heartbreaking.
I kindly ask Dr.
Zeng for guidance on which medical specialty we should seek help from, so that my poor sister, who lost her father at the age of three, can be freed from the torment of this disease.
Please, I beg you.

Xiao Jing, 30~39 year old female. Ask Date: 2001/04/17

Dr. Zeng Fenyu reply Internal Medicine

Due to the described symptoms, it is difficult to determine the cause of the illness.
It is recommended that your sister first consult with an internist or a dermatologist for evaluation, and the physician can decide if further tests are necessary.

Reply Date: 2001/04/17

More Info

I'm sorry to hear about your sister's condition. It sounds distressing for both her and your family. Skin itching, especially when described as feeling like "bugs crawling," can be caused by a variety of factors, including dermatological conditions, allergies, or even systemic issues. The additional concern regarding the degeneration of breast and genital areas is particularly alarming and warrants immediate medical attention.

Understanding Skin Itching
Skin itching, or pruritus, can arise from numerous causes. Common dermatological conditions include:
1. Eczema (Atopic Dermatitis): This chronic condition can lead to dry, itchy skin and may worsen with environmental changes, such as moving to a colder climate.

2. Psoriasis: This autoimmune condition can cause red, scaly patches on the skin, often accompanied by itching.

3. Allergic Reactions: Allergies to food, medications, or environmental factors can lead to localized or generalized itching.

4. Infections: Fungal infections, scabies, or other parasitic infestations can cause intense itching.

5. Systemic Conditions: Conditions like liver disease, kidney disease, or thyroid disorders can manifest as itching without a rash.

Degeneration of Breast and Genital Areas
The gradual shrinking or degeneration of breast and genital tissues is concerning and could be indicative of hormonal imbalances or other underlying health issues. Conditions such as:
- Hypogonadism: This condition involves reduced hormone production, which can lead to changes in secondary sexual characteristics.

- Vulvar or Breast Atrophy: Often related to hormonal changes, particularly during menopause or due to certain medical treatments.

Recommended Steps
Given the complexity of your sister's symptoms, it is crucial to seek medical attention promptly. Here are some recommendations:
1. Consult a Dermatologist: A dermatologist specializes in skin conditions and can provide a thorough examination to determine the cause of the itching and any skin changes. They may perform skin tests, biopsies, or other diagnostic procedures to identify the underlying issue.

2. Endocrinologist Consultation: If there are concerns about hormonal changes or degeneration of breast and genital areas, an endocrinologist can evaluate hormone levels and assess any potential endocrine disorders.

3. Pediatrician or Family Doctor: Since your sister is quite young, starting with a pediatrician or family doctor may be beneficial. They can provide a comprehensive evaluation and refer her to specialists as needed.

4. Supportive Care: In the meantime, ensure that your sister's skin is well-moisturized to alleviate itching. Use gentle, fragrance-free moisturizers and avoid harsh soaps or irritants. Keeping her skin hydrated can help reduce discomfort.

5. Document Symptoms: Keep a detailed record of her symptoms, including when they occur, any potential triggers, and any other associated symptoms. This information can be invaluable for healthcare providers in diagnosing her condition.

Conclusion
Your sister's symptoms are concerning and require professional evaluation. It is essential to act quickly to identify the underlying cause and initiate appropriate treatment. The emotional toll on both your sister and your family is significant, and seeking help from healthcare professionals can provide the necessary support and guidance. Remember, you are not alone in this, and there are resources available to help your sister through her health challenges.

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