What Causes Acute Itching Throughout The Body?
My medical history is I am 6'0, 250lbs. The only med I take is a prilosec daily for acid reflux. I had a spinal tumor removed in 2014 at T9-11. I just did an MRI with contrast last week fridays. 7 days ago. The MRI is stable and the tumor is gone. I have a full blood test that was normal in oct except for liver alt was 72. A CT-scan on the adomend was normal except a fatty liver.
I am not what this is, any help would be great.
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern
The 5 day history, indicates an acute cause for the itching. Head to toe examination is required to look for possible scabies. Pruritic rah with linear burrows with confirmation by light microscopy. The skin needs to be examined for typical wheal like lesions associated with urticaria.
Liver and renal function tests should be done. In the meanwhile, antihistamines like cetirizine or hydroxyzine can be advised in combination with topical calamine lotion for symptomatic relief.
Wishing you best of health
Thanks
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Dr. M.S. Khalil
Explained
Detailed Answer:
Hello again
It's unlikely to be a neurological cause as the pruritus is generalised. In a focal neurological cause there would have been involvement of a specific region.
Get the metabolic panel done as the ALT was slightly high. Liver and renal dysfunction can present as such and needs to be ruled out. Deworming with albendazole would also be a good idea to see for improvement.
Wishing you best of health
Thanks