Hives or Eczema

I have had eczema for a couple years now.  It started off on just my elbow and now I have patchy spots on my arms, legs, side, around my eyes, and around my mouth.  It comes and goes and I have cream for it, but nothing makes it go away completely.  A few weeks ago, however, I woke up with what seemed to me like eczema all over my legs and arms when my condition had been improving.  It was also much more itchy and uncomfortable than before.  I was wondering if this could have been hives.  The night before I drank whisky for the first time, and I know I am not allergic to other types of alcohol, but has anyone heard of anything like this before?  I would test it out, but I have heard allergies like this can get worse every time you have the substance and if I had hives for almost a week after one shot of whisky, I am afraid to have a more severe reaction.  Any feedback would be greatly appreciated!

[Bhupinder Kaur, MD]

Hello,
It can be hives or eczema but the possibility of eczema is more likely. However in both you need antihistaminics and steroids. You may try calamine lotion on the rash. You should also maintain hygiene and try to keep the area clean and dry, wear loose-fitting cotton clothing. Also use an antibacterial soap or mild soap like dove. You can also use a barrier cream with zinc oxide paste or calamine lotion or a mild steroid cream like dermacort on the rash. For the itchiness, you  can take some antihistaminic like Benadryl or Claritin.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.