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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Itching Rashes And Bumps Indicate Scabies?

Hi I am having terrible itching and have a rash that goes from red spots at night time and then some parts go to just white bumps and don't itch during the day. Then at night they start to itch and my skin goes red. Could this be scabies? Does it almost disappear during the day?
Thu, 15 May 2014
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Dermatologist 's  Response
Hello there.
All itch is not scabies!
Nocturnal pruritus can have many causes including Hodgkin's lymphoma but yes Scabies is by far the most common.
Scabies typically involves the extensors & the web spaces & sites like the elbows & wrists are more often involved than not.
It persists' throughout the day & 'worsens' at night.
At night, any itch is heightened in my august opinion because one is not 'busy' & the brain focuses more on it!
Please do visit a dermatologist nearest you & feel free to use this HCM website to source one out. If in Bangalore, please feel to drop in on me at Vikram hospital. It may require a battery of simple tests' to aid the diagnosis.
Does anyone else in your family/vicinity/work-space/close environment & in contact with you have a similar rash? If so, it points more to an infection like scabies.
Do get back to me with answers to the questions & we can take it from there. In the interim, do use a 180mg tablet of fexofenadine taken once a day to allay the itch.
Wish you a clear skin soon.
Dr Praveen Rodrigues MD
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Does Itching Rashes And Bumps Indicate Scabies?

Hello there. All itch is not scabies! Nocturnal pruritus can have many causes including Hodgkin s lymphoma but yes Scabies is by far the most common. Scabies typically involves the extensors & the web spaces & sites like the elbows & wrists are more often involved than not. It persists throughout the day & worsens at night. At night, any itch is heightened in my august opinion because one is not busy & the brain focuses more on it! Please do visit a dermatologist nearest you & feel free to use this HCM website to source one out. If in Bangalore, please feel to drop in on me at Vikram hospital. It may require a battery of simple tests to aid the diagnosis. Does anyone else in your family/vicinity/work-space/close environment & in contact with you have a similar rash? If so, it points more to an infection like scabies. Do get back to me with answers to the questions & we can take it from there. In the interim, do use a 180mg tablet of fexofenadine taken once a day to allay the itch. Wish you a clear skin soon. Dr Praveen Rodrigues MD