ASK A PHYSICAL THERAPIST
- 25 Mar - 31 Mar, 2023
You have not provided enough information about your condition for us to make even a differential diagnosis. However, we shall attempt to provide a very broad idea of what could be done. The reasons for skin itching could be varied. The more likely causes of itchy skin in adults are simple allergic reactions of skin known as urticaria (commonly called hives). The urticarial skin eruptions are usually short-lived. So, it’s extremely rare to see them leaving any dark spots on the affected areas.
The second more common cause and probably more fitting into your case will be my suspicion of you suffering from a certain type of skin eczema. In these cases, eczema lesions can remain active for longer periods of time. During their active phase, there is an acute or chronic inflammatory reaction which takes place in underlying skin layers. The same inflammatory reactions stimulate and often destroy the pigment producing cells of the skin causing a residual post-inflammatory hyperpigmentation (PIH) patches on previously eczema inflicted areas.
If PIH is the most probable diagnostic impression, the first line treatment will be to use skin lightening creams. Such treatments need to be used at least for six to eight weeks. Second-line treatment plans usually include use of chemical skin peels and skin lightening lasers.
Your skin complaints are definitely of an inflammatory origin. Skin inflammatory disorders can be of a wide range but clinically presenting with a surprising similarity, therefore making the diagnosis much more difficult.
Our suspected diagnosis of your skin problem is that it is likely to be an eczema. Eczemas or dermatitis could be of various types as well as with variable clinical manifestations.
Atopic dermatitis (AD) is a relatively more common type of eczema seen in people of your age. However, photosensitive dermatitis, which includes irritant photo contact dermatitis, allergic photo contact dermatitis or photo chemical dermatitis, could be another differential diagnosis.
Allergic contact dermatitis to some of the toiletries or body creams or lotions including moisturisers and sunscreens will also need to be ruled out. Lastly, you should also be screened for any of the systemic autoimmune connective tissue disorders and some other skin involving rare ‘syndromes’ which can also be associated with a ‘red face’.