Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Itching On The Thighs And Arms
Question: My daughter is 27 and has significant itching with major bruising on outer thigh and arm only on left side. Her veins are a little distended overall.. I am a nurse but not sure if this is Idiopathic urticaria or if something else is going on? Unilateral only to left side -any thoughts
Brief Answer:
Yes
Detailed Answer:
Hello, Thank you for posting your question on Health Care Magic.
I've seen the attached image,
The pattern of urticaria and bruising puts vasculitis in the fore front as the diagnosis.
Vasculitis should be ruled out.
Please get the following investigations done -
Complete blood count, ESR, ANA, Anti Ds DNA , C XXXXXXX and P XXXXXXX
Once the work up is done, the type of vasculitis will need to be determined and treatment would be started after that .
As you are a Medical personnel, you must be aware that the reason for me to put it as a primary diagnosis is that your daughter has two risk factors one is the age and gender.
Also please have a close watch if anything triggers or relieves those symptoms.
Hope this helps, feel free to ask further
Best wishes
Yes
Detailed Answer:
Hello, Thank you for posting your question on Health Care Magic.
I've seen the attached image,
The pattern of urticaria and bruising puts vasculitis in the fore front as the diagnosis.
Vasculitis should be ruled out.
Please get the following investigations done -
Complete blood count, ESR, ANA, Anti Ds DNA , C XXXXXXX and P XXXXXXX
Once the work up is done, the type of vasculitis will need to be determined and treatment would be started after that .
As you are a Medical personnel, you must be aware that the reason for me to put it as a primary diagnosis is that your daughter has two risk factors one is the age and gender.
Also please have a close watch if anything triggers or relieves those symptoms.
Hope this helps, feel free to ask further
Best wishes
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks so much Dr XXXXXXX
I appreciate your prompt response. My daughter is so non- compliant she makes me crazy but I will tell her to go get the blood work done. I am concerned. One question - would this also explain the unilateral presentation of the bruising and itching if the vasculitis is just affecting one side. I appreciate your expertise and knowledge.
I appreciate your prompt response. My daughter is so non- compliant she makes me crazy but I will tell her to go get the blood work done. I am concerned. One question - would this also explain the unilateral presentation of the bruising and itching if the vasculitis is just affecting one side. I appreciate your expertise and knowledge.
Brief Answer:
Yes
Detailed Answer:
Hello again,
Yes it could .It is just that the extent of involvement could be more on that side .
Best wishes
Yes
Detailed Answer:
Hello again,
Yes it could .It is just that the extent of involvement could be more on that side .
Best wishes
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
