Skin Rash Overview
Patient Profile: A 35-year-old woman with a higher body weight, previously diagnosed with hidradenitis suppurativa and non-alcoholic fatty liver disease (NAFLD). Recently, her liver enzyme levels returned to normal as a result of diet and exercise modifications, resulting in a weight loss of 70 pounds this year. Symptom Onset: The rash appeared on January 26, presenting as itchy red skin on the upper left arm. Clinical Notes: There were no visible insect bites or known irritants that could have caused this issue. The only unusual activity noted was shoveling snow for approximately two hours prior to the rash's appearance. Current Condition: The patient reported no symptoms of fever, chills, systemic illness, or swelling at onset or currently. Initial Management: At home, the area was treated with Vaseline and hydrocortisone cream, but the itchiness persisted. The patient noticed that scratching during sleep contributed to the rash's expansion, although no new growth has occurred in the past few days. Telehealth Consultation: After a telehealth evaluation, the patient was prescribed clobetasol and mupirocin. She has been using both medications for three days without any notable improvement thus far. Next Steps: A dermatology appointment has been arranged for tomorrow, and the patient is seeking additional insights on her condition.
Answers (1)
2/5/2026, 11:20:42 AM
OpenHealth AI
It sounds like you have a complex skin issue that's been frustrating, especially with the persistence of the rash despite your efforts. Given your history and recent changes in your health, it's important to take this situation seriously while also focusing on what you can do right now to ease your discomfort.
Main Points:
- You have a persistent itchy rash on your upper left arm that hasn't improved with initial treatments.
- An upcoming dermatology appointment will provide a more thorough evaluation.
- You can take immediate steps to help manage the irritation and prevent further scratching.
Explanation:
The rash may be related to several factors, including a reaction to physical activity or friction (from snow shoveling), a flare-up of hidradenitis suppurativa, or another dermatologic issue. Given that you have used topical treatments without improvement, it’s good that you’re seeing a dermatologist soon, as they can conduct a detailed examination and may provide alternative treatments or further testing.
Next Steps:
-
Avoid Scratching: This is crucial to prevent further irritation and the risk of infection. Consider wearing light clothing over the area or applying a non-itchy dressing to reduce the urge to scratch during the day and night.
-
Moisturize Regularly: Continue using a gentle moisturizer in the area, but consider switching to a fragrance-free lotion or cream that may provide extra hydration without irritation. Apply it after bathing and throughout the day.
-
Track Changes: Monitor the rash for any changes, such as new symptoms, swelling, or changes in texture. Keeping a record will be helpful for your dermatologist appointment.
-
Avoid Irritants: Limit exposure to harsh soaps and chemicals, and consider using mild, hypoallergenic products to wash the affected area.
-
Stay Calm Until Your Appointment: While waiting for your dermatology visit, try to manage any stress as it can sometimes exacerbate skin conditions.
Make sure to ask specific questions during your dermatology appointment about your rash’s potential causes and the best course of action moving forward. You're taking proactive steps, and that’s great! Please keep me updated on how your appointment goes and if you have any further questions in the meantime.
Related Questions
Enigmatic Skin Condition
I’ve recently stumbled upon this community and wanted to share my experience! Here's my story: - At the age of 22, I noticed peculiar marks appearing on both of my hands. They weren’t itchy or red, but there was some slight swelling in my hands. - I felt perfectly healthy otherwise, without any additional symptoms. - These marks extended from my fingertips to about the halfway point on my forearms. - Over a span of two weeks, they began as subtle symptoms beneath the skin and eventually surfaced, with some areas developing blisters. - Prior to this, I had experienced chicken pox as a child at three years old and shingles on my back at the age of 19. Since then, I have had no other skin-related problems, and I’ve never dealt with cold sores, warts, or anything similar. - I consulted a general practitioner at the time, who speculated that it might be stress-related as he eliminated the possibility of contact dermatitis. This was shortly after I graduated from college about a month earlier. This incident occurred back in 2008, and I haven't encountered anything like it again. I would appreciate any insights or thoughts you may have!
Concern Over New Skin Growth on Thigh
I’ve noticed a skin lesion about 20mm in size on my thigh, and I’m uncertain about its nature. It’s been worrying me, and I would appreciate any insights or information regarding possible causes or conditions it might be related to. Has anyone else experienced something similar? Any advice on how to proceed would be greatly valued.
Identifying Mysterious Nose Spots
Greetings everyone! I'm a 32-year-old woman, and I don't take any medications. For several months now, I've been dealing with two spots on my nose that simply won’t go away. I maintain a skincare routine that includes cleansing, toning, and moisturizing, but despite my efforts, these spots remain persistent. They lack a noticeable head, which makes it impossible for me to pop them, and they neither cause discomfort nor have they grown larger over time. I woke up one day to discover them, and they’ve been there ever since. My apologies for the poor image quality.
Seeking Help for a Skin Rash
Age: 20 years Gender: Male Height: 5 feet 10 inches Weight: 130 pounds Ethnicity: Asian Length of Symptoms: Approximately one week, although the larger area of irritation has been developing for about three weeks. Affected Area: My arms Medical History: No known health issues Current Treatments: Not taking any medications at the moment.
Evaluating a Suspicious Spot on the Skin
At 33 years old, I've recently observed a pale spot developing on my forehead. This soft, raised area has been increasing in size rapidly and was not present back in October. I've noticed it subtly emerging in some earlier photos as well, highlighting the change over time. The spot does not exhibit any symptoms like itching, scabbing, or flaking. During summer months, I do spend considerable time outdoors, but I consistently apply sunscreen for protection. My esthetics specialist, whom I consult every other month for facials, mentioned that this spot does not appear to be related to acne and does not seem to contain any fluid or resemble milia. Given my upcoming medical appointments, I’m attempting to determine which ones should be addressed first. I discontinued spironolactone two months ago for managing elevated androgen levels and borderline polycystic ovary syndrome (PCOS), after being on it for approximately two years. Additionally, I stopped taking Wegovy one month ago as my husband and I are intending to try for a child following the appropriate waiting period. Currently, I am not taking any vitamins, medications, or supplements.