I am a 36 year old white female, who is having extreme itching on my thighs, when I scratch it is leaving bruises, like huge, black and blue ones. I am also having fatigue, headaches (debilitating at times), nausea, fever, loss of appetite, bone and joint pain, swelling in hands and ankles, dry eyes, I get full easily, chest feels heavy at times. What actions should I take?