Suggest Treatment For Symptoms Of Itchy Dry Bug Bites
Likely possibility of ringworm; KOH scraping would be confirmatory
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image.
I can see a round to oval, red patch which is dry, scaly and has a ring like margin.
Since it was itchy and always has been so, I would like to keep a possibility of Tinea/ ringworm. Another possibility is of Eczematous Dermatitis.
I would rule out lyme's because it is scaly and is itchy.
A KOH preparation made by scrapping a small amout of scale and placing it under 10X microscope would show fungal elements i.e hyphae, in case of a fungal infection.
You may try a topical antifungal for this e.g terbinafine 1% cream Or miconazole nitrate 2% cream Or clotrimazole 1% cream, twice daily for 2 weeks. Miconazole cream as well as clotrimazole cream is available otc. A fungal infection like this should clear in about 2-4 weeks.
An otc oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.
Regards