What causes sudden rashes with itchiness and discomfort?

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

After reviewing the attached pictures (attachments removed to protect the patient's identity), the abrupt onset, itchiness, recent travel history, and clinical presentation strongly suggest an episode of acute urticaria, an immediate allergic reaction. Possible triggers include changes in location, weather, dietary habits, insect bites, or the introduction of new medications, including painkillers. Typically, these episodes last around three to four weeks, and it is advisable to continue the prescribed medication throughout this period. Recommended treatment involves taking antihistamines and applying mild to moderately potent topical steroids to suppress the allergic reaction. I suggest you take tablet Levocetirizine 5 mg once daily at night after dinner for three weeks and apply topical Fluticasone propionate ointment for 10 days to reduce symptoms.

I hope this helps you.

Thank you.

Regards.

Hello,

Welcome back to icliniq.com.

Certain individuals have a sensitive skin type, and a bite at one site can provoke a generalized response, referred to as papular urticaria. Considering your symptoms, hand, foot, and mouth disease (HFMD) is indeed a possible explanation. Lesions may appear on the palms and soles, and occasionally in the oral cavity. If you observe such manifestations, I would suggest you seek further evaluation.

Thank you.

Hello,

Welcome back to icliniq.com.

I have thoroughly examined the attached picture (attachments removed to protect the patient's identity). The lesions appear inflammatory in nature. Upon close inspection, I have not identified clear fluid-filled lesions, a characteristic feature of hand, foot, and mouth disease (HFMD). Additionally, the affected site is uncommon for HFMD, making it highly unlikely. The lesions seem to be less urticarial and likely appear red due to excessive scratching. Considering these observations, insect bites or prurigo simplex are plausible explanations for the presented symptoms.

I hope this clarifies your query.

Thank you.

Regards.

Hello,

Welcome back to icliniq.com.

Certainly, given the erythematous and edematous appearance of the lesions, potential differentials to consider include papular urticaria, urticarial vasculitis, and small vessel vasculitis. For a precise diagnosis and appropriate management, I suggest you consult a dermatologist in person.

Thank you.