Itchy and Painful Skin Rashes: When to See a Dermatologist - Dermatology

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Itching and pain of the skin?


Hello, Doctor: Ever since I moved to a new environment, I started developing red rashes in the area between my two hands shortly after.
At first, it was very itchy, so I applied some topical cream, hoping it would improve.
My family suggested it might be due to not washing my blanket for a long time.
However, after a considerable amount of time, the affected area has grown larger and has become very painful and itchy.
I can feel small bumps on the surface.
After showering, it hurts a lot, and even after applying lotion, it starts to hurt again within a few hours.
The pain and itchiness have become unbearable, and I find myself scratching to the point of bleeding.
Should I see a dermatologist? Am I experiencing eczema?

Miss Huang, 20~29 year old female. Ask Date: 2015/01/17

Dr. Wu Yuxin reply Dermatology


Are you referring to stitches? If so, I recommend that you seek medical attention promptly to rule out the possibility of scabies.

Reply Date: 2015/01/17

More Info


It sounds like you are experiencing a significant skin issue that has developed after your move to a new environment. The symptoms you describe—itchy, painful red rashes with small bumps—are concerning and could potentially indicate a variety of skin conditions, including eczema (atopic dermatitis), contact dermatitis, or even an allergic reaction. Given the persistence and severity of your symptoms, it is advisable to see a dermatologist for a thorough evaluation.

Eczema is a common skin condition characterized by dry, itchy, and inflamed skin. It can be triggered by various factors, including environmental changes, allergens, and irritants. The fact that your symptoms worsened after moving suggests that you may be reacting to something in your new environment, such as different fabrics, detergents, or even climate changes. Contact dermatitis, which is a localized rash caused by direct contact with an irritant or allergen, is also a possibility, especially if you have recently changed soaps, lotions, or other personal care products.

The presence of small bumps and the intense itching you describe could indicate that your skin is inflamed and possibly infected due to scratching. Scratching can lead to a cycle of irritation and inflammation, making the condition worse. If you notice any oozing, crusting, or increased redness, these could be signs of a secondary infection, which would require prompt medical attention.

In terms of treatment, over-the-counter hydrocortisone creams can provide temporary relief from itching and inflammation, but they may not be sufficient for more severe cases. A dermatologist can prescribe stronger topical steroids or other medications to help manage your symptoms effectively. Additionally, they may recommend specific moisturizers or emollients to help restore your skin barrier, which is crucial for preventing further irritation and dryness.

It is also important to avoid scratching the affected areas, as this can exacerbate the condition and lead to complications. Keeping your nails short and wearing gloves at night may help reduce the urge to scratch while you sleep.

As for your question about whether you should see a dermatologist, the answer is yes. Given the duration and severity of your symptoms, a professional evaluation is warranted. A dermatologist can provide a proper diagnosis and tailor a treatment plan to your specific needs. They may also conduct allergy testing if they suspect that your rash is due to an allergic reaction.

In summary, while it is possible that you are experiencing eczema or another skin condition, only a dermatologist can provide an accurate diagnosis and appropriate treatment. Don't hesitate to seek medical advice, especially since your symptoms are causing you significant discomfort and affecting your quality of life. Taking action sooner rather than later can help prevent further complications and promote healing.

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