uncontrollable itching

[PATRICIA7331]

After a severe bacterial infection which affected my hearing, I have developed severe uncontrollable almost burning itching in feet, legs and arms - always at night - rarely during the daytime.  No rash or welts.  Antihistamin clears it up within 30 minutes.  Can you help?

[aufrex28]

I'm not so certain that there is a dermatological source for the cited symptoms. I, too, recently had a severe bacterial infection of my ear, and developed the very-same symptoms - with uncontrollable itching of my hands & feet, which clears up with antihistamine. My worst bout occurred after I applied a hand moisturizer (Curel), leading me to believe that it was a contact allergy. However, a patch test ruled that out, and the symptoms have occurred spontaneously, regardless of having contacted any substance. Is there any possibility that it is a symptom of a nervous-system disorder, or something similar?

[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). Dry skin usually results from environmental factors that you can wholly or partially control. These include hot or cold weather with low humidity levels, long-term use of air conditioning or central heating, and washing or bathing too much.

Other conditions cause itchy skin as well. Skin conditions like psoriasis,dermatitis,lice,scabies and hives, 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. You should take a comfortably cool bath and wear smooth-textured cotton clothing. Covering the affected area with bandages and dressings can help protect the skin and prevent scratching. You should choose mild soaps without dyes or perfumes and use a mild, unscented laundry detergent when washing clothes, towels and bedding.

Pls 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.

Hope it helps.Take care and pls do keep me posted if you have any additional queries.