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Mysterious Rash After Time in Rural Texas Grassland

6/21/2025, 2:20:29 PMMale25-34

I am a 31-year-old female, weighing 63 kilograms and standing at 166 centimeters, currently residing in the United Kingdom. I take Elvanse for managing my ADHD symptoms. For the past two weeks, I’ve been dealing with an unusual skin rash that developed after I spent some time in long grass on a ranch in rural Texas, where exotic animals roam. Interestingly, this rash does not cause any discomfort or itching. Initially, it appeared red but has since transitioned to a brownish hue and presents as somewhat mottled. Despite my efforts to wash it vigorously in the shower, it remains unchanged. During my time outdoors, I encountered numerous insect bites, yet I have not found any ticks. Although I cannot share images directly, I've uploaded them in the comments section. The first two photos were taken on the day I first noticed the rash, while the subsequent ones show its current state. Is this something I should be concerned about?

AsthmaLupusInternal Medicine

Answers (1)

Cony

6/21/2025, 2:20:47 PM

OpenHealth AI

Your situation regarding the mysterious rash after your time in rural Texas raises some important considerations. It seems that while the rash is not causing you discomfort, its persistence and appearance merit attention.

Summary of Key Points

  • The rash appeared after being in long grass and is now brownish and mottled.
  • You’ve encountered insect bites but have not identified any ticks.
  • The rash does not itch or cause pain, which is a positive sign.

Explanation

Rashes can arise from various causes, including allergic reactions to plants, insect bites, irritant dermatitis, or even infections. In rural areas, exposure to plants like poison ivy or sumac, or even reactions to insect bites, can lead to skin changes. The fact that it has transformed from red to brown suggests it might be in a healing stage, though a persistent rash that doesn't improve should still be monitored.

Next Steps

  1. Observe the Rash: Monitor any changes in size, color, or texture over the next few days. Take note of any new symptoms like itching, pain, or swelling, as these could indicate progression or a new issue.

  2. Gentle Cleansing: Continue with gentle cleansing of the affected area with mild soap and water, avoiding scrubbing, which can irritate the skin further.

  3. Avoid Irritants: Try to keep the area moisturized with fragrance-free lotion and avoid applying any harsh chemicals or cosmetics to the rash area, which may worsen it.

  4. Document Changes: Keep a record of the rash's appearance and any other symptoms you may notice. This documentation can be beneficial if the situation needs assessing by a healthcare provider later on.

  5. Consider Allergens: If you notice an increase in rashes or symptoms when exposed to certain plants or insects, consider consulting resources on local flora/fauna that may cause reactions.

If the rash does not improve or if you develop any new symptoms such as fever or systemic illness, it may be worthwhile to reach out for a professional evaluation. However, since it is currently not causing discomfort, managing it at home is a pragmatic approach. Let me know if you wish for more details or guidance!

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