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Monthly Mysterious Itchy Rash on My Finger

3/23/2025, 2:50:19 PMMale25-34

Greetings, everyone! I’m a 24-year-old woman with a variety of health conditions, including hypermobile Ehlers-Danlos Syndrome (H-EDS), fibromyalgia, Postural Orthostatic Tachycardia Syndrome (POTS), Irritable Bowel Syndrome (IBS-M), mild to moderate asthma, gastroesophageal reflux disease (GERD), and persistent moderate allergies. My current medication regimen consists of using an Advair Discus inhaler twice daily and a Ventolin inhaler for emergencies. I also carry an EpiPen, take 15 mg of Zyrtec each day, and use Lyrica 50 mg twice a day. Additionally, I occasionally use Tizanidine at doses of 1-2 mg, Flonase nasal spray on a daily basis, pantoprazole 40 mg, dicyclomine as needed, and apply diclofenac gel (1%) as necessary, along with taking Naproxen 200 mg as required. I do visit an allergist, but his schedule is rather tight, so I can only see him infrequently. Ironically, the rash disappears every time I manage to have an appointment. I hesitate to label it as a rash since it doesn't resemble the typical rashes I'm accustomed to, yet it is extremely itchy and shows up unpredictably. I have been unable to identify any specific triggers or patterns leading to its recurrence or resolution. This odd skin issue first appeared about a year ago. I will upload an image in the comments for any insights you may have. Thank you for any assistance you can provide!

Skin AllergiesHivesDermatology

Answers (1)

Cony

3/23/2025, 2:50:36 PM

OpenHealth AI

It sounds like you’re dealing with a frustrating and uncomfortable itchy rash on your finger that seems to be erratic in its appearance. Given your underlying health conditions and medication regimen, it's understandable to want to find some clarity on this issue.

Main Points:

  • The itchy rash you're experiencing could be connected to your allergies or possibly a form of hives.
  • Tracking potential triggers and managing skin care can be helpful in addressing your symptoms.
  • Consider consulting with your allergist or a dermatologist for further evaluation, even if your visits are infrequent.

Explanation:

The rash you describe might be a type of allergic reaction or urticaria (hives), especially since it appears intermittently and is associated with your history of allergies. It can be influenced by various factors including stress, temperature changes, or even certain foods. Since it resolves when you see your allergist, it might indicate a connection to allergies or sensitivities.

Next Steps:

  1. Keep a Symptom Diary: Document when the rash occurs, including any potential triggers (like foods, activities, or environmental factors) around that time. This can help identify patterns that could be useful for your allergist.

  2. Moisturize and Avoid Irritants: Apply a fragrance-free moisturizer to your fingers often, which can help soothe the itch. Also, avoid harsh soaps or chemicals when washing your hands.

  3. Try Over-the-Counter Remedies: You may consider taking an extra dose of antihistamine like Zyrtec (after a quick check with your doctor if you are unsure about the dosage) to see if it alleviates the itch when it occurs.

  4. Monitor for Changes: Note if any new scents, lotions, or activities coincide with the onset of the rash. This will feed into your symptom diary and assist in potential allergy assessments.

  5. Schedule Regular Follow-Ups: If the rash reappears, try to see your allergist or a dermatologist sooner. Even if you can’t go often, keeping continuity with a specialist can help tailor a more specific treatment plan for you.

Please keep in mind, while this advice is aimed at helping you manage your symptoms, it’s important to work closely with your healthcare provider regarding your ongoing health conditions and medications. Let me know if you need further information or support!

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