Mysterious Skin Rashes Leave Doctors Puzzled
Age 32, female, residing in the UK, weighing 145 kg, I face challenges with obesity and a complicated medical history. This includes atrial fibrillation managed with bisoprolol at 7.5 mg and edoxaban at 60 mg daily, as well as experiences with Prinzmetal angina, sleep apnea, bipolar disorder type 2, borderline personality disorder, anxiety, depression, and stage 2 chronic kidney disease. Furthermore, I suffer from hidradenitis suppurativa, currently classified as stage 2-3.
For roughly a month, I’ve been dealing with a persistent rash that stretches from my left foot to my knee. This rash has been excruciatingly painful, characterized by a burning and throbbing sensation, though it does not itch and is not elevated. When I consulted with an Advanced Nurse Practitioner (ANP), she was at a loss regarding the cause. Her treatment plan included prescribing co-codamol (30/500 mg) along with a recommendation to apply dermol cream.
Following that weekend, I developed a remarkably tender area on the back of my thigh and beneath my buttock on the same leg. It had a bruised feeling despite no visible marks at that time. The next day, multiple clusters resembling blisters emerged and the pain intensified. Consequently, I scheduled a follow-up appointment for the following Monday with a doctor.
Unfortunately, he too was unable to determine the nature of the rashes. In an examination, he gently prodded the recent blister outbreak with a pen's flat end, prompting a reaction from me, to which he noted, "That must have hurt."
He prescribed a combined steroid, antibiotic, and antifungal cream for treatment. Since then, my initial localized rash shows no signs of improvement, while the blisters have begun forming scabs.
Adding to my anxiety, I previously experienced necrotizing fasciitis in that same leg two years ago, nearly leading to the amputation of the limb due to a central line infection. This history amplifies my concern about the current skin issues I am facing.
Fungal InfectionRashDermatitis