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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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7 Year Son, History Of Dry Skin, Rashes, Itchy. Diagnosed As Scabies. Any Ideas?

I have a 7 yr old son who has a history of dry skin and frequently gets eczema-like rashes. For the second yr in a row around this time of yr he has a rash on the outside of both elbows, the tops of his knees and on the backs of his wrists. It is worse on his elbows than anywhere else. They look kinda like pimples, they are red and itchy. I started applying hydrocortisone cream last night and they already look a little better, not as red. Last yr his dr diagnosed it as scabies, but I really don't think that's what it is. Any ideas?
Thu, 2 May 2013
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Dermatologist,  's  Response
Hi Thanks for writing to HCM. Scabies is a mite infestation where there is severe itching at night .It usually affects flexural areas of body like underarms,genitalia etc.Other members of family are also affected.Since your child has itching in extensor aspects of body like elbow,wrists it is possible that he may suffering from atopic eczema or psoriasis.Treatment for both differs and it will be better you consult a dermatologist.Use mild soaps like dove,apply plenty of emollient after bath.Use loose cotton clothes covering whole body.You can continue with hydrocortisone but apply it only for few days (up to 1 week).
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7 Year Son, History Of Dry Skin, Rashes, Itchy. Diagnosed As Scabies. Any Ideas?

Hi Thanks for writing to HCM. Scabies is a mite infestation where there is severe itching at night .It usually affects flexural areas of body like underarms,genitalia etc.Other members of family are also affected.Since your child has itching in extensor aspects of body like elbow,wrists it is possible that he may suffering from atopic eczema or psoriasis.Treatment for both differs and it will be better you consult a dermatologist.Use mild soaps like dove,apply plenty of emollient after bath.Use loose cotton clothes covering whole body.You can continue with hydrocortisone but apply it only for few days (up to 1 week).