How to manage itchy skin rashes on my back that are now spreading?

Question

Hello doctor,

There is an area on my back that started as a rash, and it has now spread, and it continues to itch. What should I do? This has been there for approximately two months. I have attached photos for your reference.

Kindly assist.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have noted your concern, and I have viewed the image (attachment removed to protect patient identity).

I can see several dark nodular lesions on the back. I would keep the possibility of nodular prurigo or hypertrophic lichen planus. I suggest you use a topical ultrapotent steroid, either Clobetasol propionate 0.05%, Betamethasone dipropionate 0.05%, or Halobetasol propionate 0.05%, twice daily. In addition to that, you may take oral antihistamines like tablet Cetrizine (Cetirizine) 10 mg once daily for symptomatic relief from itching. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines.

I hope it helps.

Please let me know if I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Are you using something for it? It will not go away on its own.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

Yes, that is fine. I suggest you continue it.

If possible, ask your doctor to give you the one with salicylic acid that is Betamethasone dipropionate 0.05% plus salicylic acid 3 to 6% ointment. This would be more effective. In addition to that, I suggest you take an oral antihistamine that is Cetrizine (Cetirizine) 10 mg once daily for symptomatic relief from itching. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines.

Revert in case you have any other doubts.

Thank you.