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Suggest Treatment For Severe Itching On The Body

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Posted on Tue, 13 Jun 2017
Question: I have serious itching problem somewhat like a heat rash. My Dermatologist said it is
grovers but I have had it since last Sept and it gotten worse. What can I do?
email: YYYY@YYYY
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Please upload a photo and provide some information

Detailed Answer:
Hello,

Thank you for using Healthcaremagic to post your health query.

Please upload a photo if it is visible, so I can have a look at it.
Also, tell me more information- where is it localized? What have you used on it? How has it changed since Sept?

The more information you give me, the more helpful will be so I can help you with my advise.

Looking forward to your follow up question.

Regards,
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (26 hours later)
I need an email address to send photo to, other wise I do not know how to upload photo. According to my Dermatologist there is no cure for Grovers Disease. My Doctor gave me a prescription for Triamcinolo Cream USP 15GM 0.1% which stops the itching for a short while, but so does a shower and Gold Bond Lotion. This thing shows no sign of letting up. In fact it's in my scalp and on my legs. It intensifies when I sweat. I have knots under my skin on the back of my hands and om scalp which cause extreme itching also. I did find Grovers Disease on line which says about the same. It looks a severe heat rash all over my body. When the itching gets bad, I wash my skin with rubbing alcohol
doctor
Answered by Dr. Klarida Papaqako (18 hours later)
Brief Answer:
Some options or treatment that you can suggest to your doctor.

Detailed Answer:
Hello,

Thank you for the follow-up question.

Since your doctor and you are quite sure it is Grover's disease, then there is not need for me to see the photos. However, you can certainly e-mail them to YYYY@YYYY by keeping the Subject as: ATTN Dr. Klarida Papaqako, and I'll receive them.

There is no definite cure for it, but surely there are treatments which can keep it under control and make possible that you have a normal lifestyle.

- The first line of treatment is using local steroids like you are doing, avoidance of triggering factors (eg, heat, sweating), moisturizers and emollients. Do not use alcohol on your skin because it relieves the itchiness temporarily but it makes the skin dry and aggravates the itchiness.

- If not enough helpful then the second option is topical vitamin D-analogs (Calcipotriene 0.005% twice daily); for three to four weeks before assessing clinical response. Oral antihistamines can be taken for the itchiness too.

- The third line is systemic corticosteroids (eg, prednisone starting at 20 to 40 mg daily and tapering over two to three weeks), or systemic retinoids (isotretinoin 40 mg daily for 2 to 12 weeks; taper to as little as 10 mg daily for prolonged control). Using oral medicines, of course, has more side effects, but those can be used to relieve the symptoms and remove the lesions for that short time.

Hope this is helpful.
Let me know if you need more clarifications.

Regards,
Dr. Papaqako
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1803 Questions

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Suggest Treatment For Severe Itching On The Body

Brief Answer: Please upload a photo and provide some information Detailed Answer: Hello, Thank you for using Healthcaremagic to post your health query. Please upload a photo if it is visible, so I can have a look at it. Also, tell me more information- where is it localized? What have you used on it? How has it changed since Sept? The more information you give me, the more helpful will be so I can help you with my advise. Looking forward to your follow up question. Regards, Dr. Papaqako