underskin itch

[worriedalmostwife]

my fiance has had itching under his skin for years scratching doesnt help and ive seen him literally scratch his skin until there is an open sore.is it a parasite?it becomes feverish and it kinda feels like theres something under his skin where it itches...im worried and we have no medical coverage.hes an avid outdoorsman,hunter,fisherman ect..could it be a parasite?

[Bhupinder Kaur, MD]

Hello,
Itchy skin that isn't accompanied by other obvious skin changes, such as a rash, is most often caused by dry skin (xerosis). Other conditions cause itchy skin as well. Skin conditions like psoriasis or dermatitis , internal diseases like liver and kidney disorders, diabetes, iron deficiency anemia, irritation and allergic reactions to chemicals, wool, soaps, cosmetics and certain foods  can cause itchy skin.

You can apply an anti-itch cream or lotion to the affected area. Oral antihistamine, such as Benadryl can also be used. He should take a comfortably cool bath and wear smooth-textured cotton clothing. He should choose mild soaps without dyes or perfumes and use a mild, unscented laundry detergent when washing clothes, towels and bedding.

Please take a second opinion from a dermatologist if the symptoms persist. He/She will start with the specific medications. If an internal disease is found, whether it's kidney disease, iron deficiency or a thyroid problem, treating that disease often relieves the itch. Lastly, Phototherapy can also be tried.

I hope this helps Take care and please do keep me posted on how you are doing or fi you have any additional doubts. Kind regards.