25 white male, good health, in shape, no history of skin problems in family.
Story:
Summer of 2008 (late June-ish) I started to itch a little bit at night.. which progressively got worse. To the point it was waking me up and/or preventing me from falling asleep. By August I start getting some small red bumps in the places I am most itchy. Primarily thighs, waist, stomach, back, and arms. We start off treating for basic itchy symptoms, like mites, scabies, etc. Going a few rounds with those, we notice no difference and my spots are only getting worse. As it starts getting colder, and I wear longer shirts/jeans.. I notice the rash spreading down my forearms, and calves. So we immediately get me into some all unscented soaps, free and clear detergents, off dryer sheets, and anything else my skin comes in contact with. Still no change, and getting worse. However the doctor also mentioned trying Zyrtec.. and in all reality, it does reduce the itch from INTENSE to very light by day, not much help at night. By November I have developed large (dime sized at the largest) crusty edged red spots all over my body. Especially my back, shoulder and biceps. By November, we had been through: Ketoconazole, Premethrine, Hydroxyzine, Cephalexin.
When I finally break into this nasty state, the doctor that I am seeing believes it to be Guttate Psoriasis because of the shape/look and does a punch biopsy on one of the worst spots and a throat culture to check for Strep Throat which is the main cause of GP. Results are in, and I have had an untreated Strep Throat. No conculsion drawn from the biopsy. So I get some Triamcinolone cream to put on my spots, a steroid of sorts im told, and **HERE'S THE KICKER**.. an antibiotic called Erythrocin 500MG ST TAB. It's a ten day antibiotic.. within ten days, I go from large scab like crusty bumps that itch to the extreme to almost completely back to 100% normal. My body loved whatever that medicine did, which I assume means it cleared the strep and my body responded by healing the spots. I noticed I did retain a very slight itch in comparison to where it was on the intense scale, but it would come and go, some days here, some days completely gone. But no bumps or rash anywhere. December 08 to April 08 I was just like that.
Starting in May, I started noticing that I was itching a little more at night. No bumps, just a slight itch, started the Zyrtec again by June. July it started getting intense at times again. Got appoinment to see a new dermotologist who after seeing my skin (hardly any small little bumps to even show) does not believe it's Guttate Psoriasis, 1) because of the response to the antibiotic that cleared me, and 2) thought it seemed more like Eczema. Continued to cut down on allergy-related stuff. No juice, back to cool showers, etc. August-September I started getting bumps again. Here it is beginning of October, and I'm starting to get larger bumps and bigger rash patches on my stomach, biceps and as always, my thighs. This doctor put me back on Triamcinolone cream and a pill called XYZAL. This pill does ok, but never lasts..
November 09: Got bumped up to a cream called Flucinonide. It works better than the Triamcinolone for sure, but still only about 6-8 hours and I have to re-apply. However, the spots that were getting bigger have disappeard, but im sure that the intensity of the itch has increased greatly, because when the Flucinonide wears off, its INTENSE and fast! Also, started waking up at the same exact time each morning itching primarily my inner thighs (which have always been the worst), and the back of my ankles. No matter what time I go to bed, 10pm, 1am, 3am and take my Xyzal and Flucin-cream, I have for the past 6 days woke up between 7:43 and 7:48 am. No alarm, no usual schedule of that, nothing.
My current dermotologist takes over a month to get into, and he seems convinced that its an allergy thing and wants to run a allergy test on me. I think it has nothing to do with allergies. I've changed everything I could possibly be allergic to around, tried different things, removed things, and nothing has made it any better, if anything, made it worse..
The only connction I see is that it's happening around the same time of year, but I dont even live in the same state anymore. I cant think it would be anything seasonal, cause its still warm here.. and not back where I was from. But this time, no big crusty bumps, just insane iching.
Please help...
Thank you..