A few days ago I was really feeling down - not sick but exhausted. I believe I have a "Herald's Patch" on my lower back. Initially it just itched like crazy but now it's about the size of a quarter and is scaly. Since then I have been getting bumps all over my body that itch and itch. What can I do to help this? Do I need to see a dermatologist or is that a waste of time? How do I stop it from spreading?
It is very difficult to precisely confirm a diagnosis without examination and investigations but from the symptoms that you have mentioned, it can be either a viral infection which presents as generalized itchy bumps all over the body, folliculitis which is inflammation of the hair follicles or pityriasis rosea.
Folliculitis is the inflammation of one or more hair follicles. The condition may occur anywhere on the skin. It starts when hair follicles are damaged by friction from clothing or blockage of the follicle. In most cases of folliculitis, the damaged follicles are then infected with the bacteria Staphylococcus (staph).
Pityriasis rosea is a common human skin disease which presents as numerous patches of pink or red oval rash. The rash may be accompanied by low-grade headache, fever, nausea and fatigue and itching. Initially, a primary plaque, called a herald patch, is seen. Then it is followed by a distinctive, generalized rash 1-2 weeks later. The rash lasts approximately 2-6 weeks and is found in a Christmas tree pattern over the trunk and abdomen.
Keep the area clean and apply some topical calamine lotion which will help in relieving itching. Also wear loose-fitting cotton clothing and use an antibacterial soap or mild soap like dove. Avoid any kind of cosmetics. Topical antibiotics such as mupirocin or neomycin containing ointment are also useful if the rash is folliculitis but if it is pityriasis rosea then topical and oral steroids are needed. You need to get it examined from a dermatologist to confirm the diagnosis.
Rash of pityriasis rosea is not contagious but if it is folliculitis or viral infection then wear cotton clothes, maintain hygiene and eat a well balanced healthy diet to avoid its worsening or spread.
Hope that this information helps and hope that you get better soon.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.