OpenHealth Q&A

Get answered by medical professionals

Seeking Advice: An Unsettling Skin Concern

8/2/2025, 10:10:20 AMMale25-34

I've shared some images in the comments section. I’m a 21-year-old male, and I’ve been dealing with two unusual patches located behind my knees. These spots feel firm to the touch and often itch, similar to the irritation from a mosquito bite. However, this issue has persisted for about a year now, constantly recurring and leaving me uncomfortable due to the itching. I’ve never really paid it much attention, but after taking a photo today, it made me quite uneasy. Can anyone help identify what this might be?

ItchingRashDermatitis

Answers (1)

Cony

8/2/2025, 10:10:39 AM

OpenHealth AI

It’s understandable to feel concerned about persistent skin issues, especially when they cause discomfort and have been present for an extended period. The itchy, firm patches behind your knees could be due to several common skin conditions, such as eczema, psoriasis, or contact dermatitis. The fact that they've been around for a year and recur often suggests that it might be a chronic condition that needs addressing.

Explanation

  1. Possible Causes:
    • Eczema (Atopic Dermatitis): Often presents as itchy, inflamed patches of skin and can become thicker over time due to constant scratching.
    • Psoriasis: Can cause red patches covered with silver scales. It usually involves itching and can also feel firm.
    • Contact Dermatitis: A reaction to irritants (like soap or laundry detergent) or allergens (such as certain fabrics), leading to similar symptoms.

Next Steps

  1. Hydration & Skin Care:

    • Keep the affected areas moisturized with a fragrance-free lotion to reduce dryness and irritation.
    • Avoid scratching, as this can worsen the condition. Consider wearing loose clothing to minimize irritation.
  2. Identify Triggers:

    • Pay attention to any potential irritants in your environment or personal care products that could be causing flare-ups.
    • Begin a simple diary noting when the itching increases, as this may help identify patterns or triggers.
  3. Over-the-Counter Relief:

    • Try using an over-the-counter hydrocortisone cream for a short period (up to a week) to reduce inflammation and itching. Follow application instructions carefully.
  4. Monitor Symptoms:

    • Keep track of any changes in the patches, such as color, size, or new symptoms (like spreading to other areas).

If after these steps you do not see improvement within a few weeks, or if the patches become more severe, it's important to consider seeking guidance. While I can't diagnose the condition without visual confirmation, you may find relief by directly addressing the symptoms. Please take care, and I'm here if you have more questions!

Related Questions

Discovering Unexpected Long White Hairs: What Could Be Behind It?

I’m a 27-year-old male, standing at 5 feet 5 inches and weighing 175 pounds. I don't take any significant medications. I've noticed the emergence of these unusually long white hairs since my teenage years, and they tend to appear about once a month in certain years. I’m curious about what might be causing this phenomenon.

MolesRashHair Loss
Male25-34
4 minutes ago

Concerns About My Brother's Stomach Mark

My younger brother, who is 14 years old and otherwise healthy, has noticed a dark spot on his abdomen that has persisted for several months. He sometimes expresses discomfort regarding it, although the mark itself hasn’t altered in color or size, remaining flat. After consulting our physician, we were informed that it might be eczema, but there are no associated symptoms like dryness, peeling, or itching. He also doesn't recall sustaining any injury in that area, and there are no signs of fever, weight fluctuation, or other issues. Given the circumstances, should we consider seeking a second opinion? Additionally, he visits a physiotherapist regularly; maybe there could be an unseen injury or something he forgot. I’m looking for insights into this matter.

Skin CancerDermatitisEczema
Male25-34
24 minutes ago

Unpleasant Stickiness Due to Sweating

I’m a 28-year-old woman, weighing 144 pounds and standing at 5’2”. I struggle with chronic TMJ and have an allergy, for which I take 5mg of Zyrtec and sometimes flare up with Flerexil during bad episodes. Approximately two months ago, after spending a night out, I experienced the worst sleep imaginable. The alcohol intake elevated my body temperature, causing excessive sweating that hindered my ability to rest. I figured this discomfort would subside once I recovered. While the initial symptoms did diminish, they have not completely resolved. Now, whenever my skin makes contact with another surface, it becomes damp enough to create an unpleasant stickiness that is quite bothersome. Fortunately, my body temperature has returned to normal levels. I consulted with my primary care physician, who conducted several STD tests and a general blood screening, all of which yielded normal results. I have another appointment scheduled in a month, but this issue is becoming increasingly frustrating. Is this some form of skin issue? It’s quite taxing as I can no longer comfortably cuddle with my boyfriend; any skin-to-skin contact lasting over a minute leads to an uncomfortable stickiness without the usual sweating.

RashHivesAllergology
Male25-34
1 hour ago

Understanding Sensory Input: Questions and Insights

Is there a neurologist in the group, or perhaps someone well-versed in the latest studies? Extensive research has been conducted on pain science, focusing on methods to mitigate sensory signals from the nerves. We have various solutions at our disposal, including medications, electrical stimulation devices, and nerve blocks. This field has intrigued researchers for decades, with billions invested in finding effective treatments. However, have there been any parallel efforts aimed at decreasing or eliminating input from smell or sound? The limited number of individuals who experience severe difficulties in these areas may explain the lack of research focus, but could there be insights from studies on autism that shed light on this? Living with dysfunction related to sensory input can be incredibly challenging, and while exposure therapy can help moderately, it often doesn't go far enough. Within the neurodivergent community, many individuals express debilitating sensitivities to odors and sounds. When asked what they would eliminate if given the chance, hyperacusis frequently emerges as a prevalent response. On a personal note, I wish I could engage intimately with others without being so overwhelmed by body odors that I feel compelled to block my nose to avoid feeling nauseous. 😂 I've occasionally explored the literature on PubMed, yet I find the intricate nature of sensory systems overwhelming. I am eager to learn from experts about why solutions beyond mere desensitization seem elusive. For instance, what mechanisms allowed the COVID virus to disrupt the sense of smell? Is it feasible for humans to replicate that effect without inflicting harm? Imagine if we could develop a nasal spray that temporarily nullifies smell and taste; such a technology could be advantageous in weight management, healthcare settings, and for those in the neurodivergent community. Surely, this would merit significant funding for research. What makes this pursuit so daunting?

RashEczemaAllergology
Male25-34
2 hours ago

Persistent Itchy Rash: Uncertain Diagnosis

Hello, I’m a 20-year-old female seeking clarity on a bothersome skin condition that has progressively intensified. I have consulted a dermatologist who initially dismissed the possibility of scabies and provided a treatment plan, yet I’m unclear if my current symptoms are an extension of that issue or something entirely different. Here’s a summary of my experience: - **June**: Itching began locally on my feet. My dermatologist prescribed a combination of topical corticosteroids (Clobetasol, Gentamicin, Ketoconazole), a tapering dose of oral steroids (Prednisolone), antihistamines (Fexofenadine), and a moisturizer. Initially, this treatment offered some relief, but the symptoms resurfaced. - **Mid-July**: I initiated a new maintenance treatment—Methylprednisolone (16mg) every other day alongside Bilastine (20mg) and applying Heraclene daily. Additionally, I use Hydrocortisone (10mg) as needed. - **August (up to now)**: I’ve been experiencing recurrent itching on my feet, legs, knees, and the folds of my knees, particularly during the night or when I’m perspiring. At times, my hands, arm creases, and neck also itch. Notably, lying down can exacerbate the itching. While moisturizing provides some comfort, sweating can heighten the irritation. - **Condition of the rash**: The rash consists of small, dot-like bumps that are pink to red and not gathered in clusters. They appear intermittently, often returning to the same areas. My skin occasionally looks red, albeit not consistently, and there are no blisters or drainage. I find myself uncertain whether this condition is eczema, chronic hives, or something else altogether. It's becoming increasingly challenging for me emotionally and mentally. Any insights or suggestions on possible diagnoses or prospective actions would be immensely appreciated.

RashDermatitisEczema
Male25-34
4 hours ago