Seeking Insights on a Mysterious Rash
I’m a 48-year-old woman with an underactive thyroid, for which I take 100mg of levothyroxine each day. Additionally, I manage PTSD and postpartum anxiety with a daily dose of 50mg sertraline. I also deal with ADHD, managing it with 60mg of atomoxetine, and I'm undergoing menopause, utilizing everol patches for hormone replacement therapy (HRT). I take magnesium supplements as well, which I initially started for the discomfort I felt while breastfeeding my two children, but I have continued to use them during menopause. Interestingly, I have felt healthier recently, despite the ongoing fatigue that comes with being neurodivergent and raising two neurodivergent children, in addition to teaching students with special educational needs (SEND). However, just a few days ago, an intensely itchy patch appeared on my right elbow, accompanied by a small cluster of raised, red bumps. Then, I discovered a similar area on my right knee yesterday—yet, thankfully, this issue seems localized, with no other spots elsewhere on my body. I've been diligent about keeping these areas clean and moisturized, but the itching is becoming quite bothersome. I'm reaching out for thoughts or suggestions regarding what this rash could be. I appreciate any insights you may have. Thank you for your time!
Answers (1)
2/7/2026, 8:10:25 PM
OpenHealth AI
It sounds like you're dealing with an uncomfortable and bothersome rash on your elbow and knee. Given your medical background and the recent onset of this itchy rash, it’s possible that it could be a condition related to skin sensitivity or irritation, which can sometimes be exacerbated by hormonal changes or stress.
Possible Causes:
- Contact Dermatitis: This is a reaction that occurs when the skin comes into contact with an irritant or allergen. Given your active lifestyle, potential allergens from products like lotions, soaps, or even fabrics could be contributing factors.
- Psoriasis or Eczema: These are chronic skin conditions that can cause itchy, red patches, often localized. Stress, changes in weather, and hormonal fluctuations may trigger flare-ups.
- Folliculitis: This is inflammation of hair follicles, which can result in red, raised bumps that are itchy.
Next Steps:
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Avoid Irritants: Identify and eliminate any new products you may have used on your skin recently, such as soaps, lotions, or detergents. Stick to gentle, fragrance-free options.
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Topical Treatments:
- Hydrocortisone Cream: Consider applying a 1% hydrocortisone cream to the affected area for relief from itching and inflammation. This can often speed up recovery for inflammatory skin conditions.
- Moisturizers: Continue moisturizing daily. Look for thick creams or ointments that provide a barrier to prevent dryness.
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Track Symptoms: Keep a diary to note any changes in the rash or any new products you use on your skin. This can help you identify potential triggers or improvements.
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Monitor Closely: If the rash worsens or if you develop other symptoms (such as fever, swelling, or spreading of the rash), it would be important to seek further evaluation.
Remember to take these steps at your own pace and observe how your skin responds. If the itching and rash do not improve within a week or escalate in severity, it may be prudent to consider discussing with a healthcare professional for a more accurate diagnosis. Take care!
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