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Dermatology  (Expert Forum)
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Confused by itching/blistering symptoms
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Confused by itching/blistering symptoms

by CalendarCard, Nov 14, 2005 12:00AM
This morning, I was awoken by intense itching and discomfort on and around my groin for one too many days in a row.  I have been following the forum and have not found information entirely applicable to my symptoms.  Nine months ago I developed scabies and underwent treatment which immediately cured the infestation.  Six months ago, I began to notice lasting itching along the inner thighs and small, blister-like bumps on the webbing on my hands.  Fearing scabies again, I received the topical treatment for another infestation.  This time, however, the symptoms did not abate.

The condition has, I feel, steadily worsened over the summer and into the fall.  Three months ago I developed a succession of three weeping lesions around anus, forming non-scaring crusty scabs.  Itching continued along inner thighs and around sores.  Two similar sores also appeared on my left shoulder blade.  No burning.  No urinary urination.  I assumed herpes.  

About two weeks ago, the itching spread to my abdomen and forearms.  In the evening and through the night, raised, extremely itchy, red bumps along forearm, on midsection.  The bumps on the abdomen are larger and often pale.  Occasionally these bumps also appear on the sides of the buttocks.  They do not appear to be full of any liquid.

One month ago, two itchy lesions appeared on the scrotum.  These surfaced, weeped, formed crusty yellow scabs and then settled.  One week ago, a similar new lesion formed on the scrotum, in a different place than the previous two.  

The symptoms on the hands are the most unsettling.  For the past 5 months I have had pin-sized raised blisters on the hand, especially on webbing, which last for a few days in a single spot, subside and reappear in a new location.  These blisters look like they have an air-bubble at their center but are filled with clear liquid and form non-scaring scabs.  They are often found in clusters.  The hand symptoms appear to be spreading from the webbing to the outer edges of the palm.  

Please advise.

by Alan Rockoff, MD, Nov 15, 2005 12:00AM
I advise you to see a doctor. I also advise you not to rub or scratch any blisters, and not to assume anything, herpes or otherwise.  I think you are worried about STD's and herpes and scabies, and that you are very likely producing some of these changes yourself by rubbing or scratching, or by looking too closely at minor skin variations.  There is no connection I can think of between small bumps on the hands, and a succession of weeping lesions around the anus.

However, that is only my best guess from far away.  Please leave the lesions alone, apply nothing more than a bland moisture lotion, and see a doctor, so you can stop worrying about this.

Thanks.

Dr. Rockoff
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