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Annual Spring Rash

For the past 4 years, I have been getting a rash every March that usually lasts until May.  I've been to three or four doctors and they have no idea what it is.  I also have been to an allergist and am not allergic to any common foods.  The rash resembles poison ivy but I have not been in contact with it.  It always starts on my forearms closer to my wrist and I will have erruptions on the front of my legs and on my chest.  It is usually just a few bumps in each area but it is extremely itchy.  I never have it on my head, face, neck or genital areas.  Topical Cortizone has not helped nor has a week of steriod pills.  Could I be allergic to some kind of tree pollen?? It seems to start once the snow clears (I live in New England) and the temp goes over 50 degrees.  I originally thought I was allergic to Red Dye No. 40 because the first time the rash appeared I had switched my birth control pills and that was the only difference.  The rash went away when I switched but I believe this was only a coincidence.    I really don't want to waste my time going to my primary and then a dermatologist only for them to tell me a. they don't know what it is and b. here's a rx for steroids that don't help.  Any suggestions or help would be appreciated.
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Avatar universal
i am a male 27 old, and i have this problem all my 27 years :)  it comes for few week at the same time as yours and than it goes but most effectiv way i found to help it dissapear faster  is that im cleaning that  area  with alcohol (70% or more)  just clean  all area 2 timeas a day for 2-3 days and its almost gone, in my case it works. you should deffinetly try (of course if you are not alergic to alcohol)    ive also try everuthing   but this is a most effective way i found.  non of specialist gave me good advice, before one old mand  in my grandfathers willage in country Georgia said to me that people tith this problem are Springs Favorite people and he advice me to use alcohol :D its funny of course but in my case works so good..  hope  it will help you guys too...  good luck.
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57 year old male and it started a few years ago...  usually in early March.   Mostly small tiny bumps on my upper chest, but this year the entire chest is red because so many tiny bumps and irritation.    For first time, the redness spread to my neck.     I'm going mad with the itching.   I do have sinus congestion.    Also my right eye is inflamed this year, so it's obviously some kind of allergic reaction.   In the past, it lasted for roughly a month.    I've tried zyrtec but suddenly this year, I wondered if I'm having an allergic reaction to that??    Just tried alcohol a few minutes ago before I started typing this.  
There is also a fungal infection that people can get on the chest. I can't remember the name of it, but my son's doctor prescribed him an anti-fungal cream for it. She said some people treat it by using a dandruff shampoo on their chest.
Update:   The alcohol has helped dramatically today!     BTW, there a different condition that seems to hit middle aged white males called "Grover's Disease."   It has little red itchy bumps typically on the torso.  Heat and sunlight are contributing factors.   Again, mostly middle aged white males.    triamcinolone acetonide cream is often prescribed for Grover's Disease
Avatar universal
Granuloma Annulare. Have a skin biopsy to confirm it. It's very rare. Not many doctors know about it. There is no cure. It's not contagious. Good luck.
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Avatar universal
Fellow New England sufferer here as well - last 7 years or so. Worse if working in dirt this time of year (late April’ish into July). Forearms and legs mostly - small red bumps maddingly itchy for weeks. OTC creams etc. won’t touch it. But what I’ve found that works is rubbing alcohol - 70% or better. Rub very liberally morning and evening (or whenever I can’t ignore itching). Considerably diminishes the itch for quite a while, and reduces the time it takes for the rash to diminish down to a few days. Prolly get tested this year - say that every year. Lol. Anyone ever discover what this rash is, please post!
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I live in Ohio and for the past 6 years I get a rash on the top of my hands. It is always the 2nd week of May. I went to the doctor in the past and they said contact dermatitis and gave me a steroid cream. If anything it seemed to make it worse. The sun seems to dry it out but then the heat irritates it more. Ice packs seem to help. I tried this new cream for poison ivy called Zanfel. It seemed to help the itch a little and take some of the bumps down. It doesn’t seem to be contagious. I thought maybe it was shingles but it doesn’t seem to fit the symptoms. I thought lime juice & sun but it seems strange it has shown up the same week for the past 6 years. Maybe stress related bc it’s my birthday & anniversary so typicaly there is a lot going on. It is so aggravating and embarrassing! I am a hairdresser.
Ok gang. I think I have the answer. Sun allergy. Yep. Finally, after several years of spring-time rash, I went to the dermatologist. It appears that I am allergic to... wait for it... the Sun. Yep. Sunlight. As in, the source of earths energy... that which uplifts and awakens the soul - of others, apparently, but not for me. Daylight. I'm allergic to daylight. Unreal. Read all about it below. Hope it helps a few of you.
-- -- -- --
More here:  https://www.health.harvard.edu/allergies/sun-allergy-photosensitivity

A sun allergy is an immune system reaction to sunlight, most often, an itchy red rash. The most common locations include the "V" of the neck, the back of the hands, the outside surface of the arms and the lower legs. In rare cases, the skin reaction may be more severe, producing hives or small blisters that may even spread to skin in clothed areas.

Sun allergies are triggered by changes that occur in sun-exposed skin. It is not clear why the body develops this reaction. However, the immune system recognizes some components of the sun-altered skin as "foreign," and the body activates its immune defenses against them. This produces an allergic reaction that takes the form of a rash, tiny blisters or, rarely, some other type of skin eruption.

Sun allergies occur only in certain sensitive people, and in some cases, they can be triggered by only a few brief moments of sun exposure. Scientists do not know exactly why some people develop a sun allergy and others do not. There is evidence, however, that some forms of sun allergy are inherited.

The most common types of sun allergy are:

Polymorphous light eruption (PMLE) — PMLE, which usually appears as an itchy rash on sun-exposed skin, is the second most common sun-related skin problem seen by doctors, after common sunburn. It occurs in an estimated 10% to 15% of the U.S. population, affecting people of all races and ethnic backgrounds. Women are affected by PMLE more often than men, and symptoms typically begin during young adult life. In temperate climates, PMLE is usually rare in the winter, but common during the spring and summer months. In many cases, the PMLE rash returns every spring, immediately after the person begins spending more time outside. As spring turns into summer, repeated sun exposure may cause the person to become less sensitive to sunlight, and the PMLE rash either may disappear totally or gradually become less severe. Although the effects of this desensitization process, called "hardening," usually last through the end of the summer, the PMLE rash often returns at full intensity the following spring.

[There are others at the link I provided above]

Symptoms vary, depending on the specific type of sun allergy:

PMLE — PMLE typically produces an itchy or burning rash within the first two hours after sun exposure. The rash usually appears on sun-exposed portions of the neck, upper chest, arms and lower legs. In addition, there may be one to two hours of chills, headache, nausea and malaise (a general sick feeling). In rare cases, PMLE may erupt as red plaques (flat, raised areas), small fluid-filled blisters or tiny areas of bleeding under the skin.


Expected Duration

How long the reaction lasts depends on the type of sun allergy:

PMLE — The rash of PMLE usually disappears within two to three days if you avoid further sun exposure. Over the course of the spring and summer, repeated sun exposure can produce hardening, a natural decrease in the skin's sensitivity to sunlight. In some individuals, hardening develops after only a few days of sun exposure, but in others it takes several weeks.

Prevention

To help prevent symptoms of a sun allergy, you must protect your skin from exposure to sunlight. Try the following suggestions:

Before you go outdoors apply a sunscreen that has a sun protection factor (SPF) of at least 15 or above, with a broad spectrum of protection against both ultraviolet A and ultraviolet B rays.

Use a sunblock on your lips. Choose a product that has been formulated especially for the lips, with an SPF of 20 or more.

Limit your time outdoors when the sun is at its peak — in most parts of the continental United States, from about 10 a.m. to 3 p.m.

Wear sunglasses with ultraviolet light protection.

Wear long pants, a shirt with long sleeves and a hat with a wide brim.

Be aware of skin care products and medicines that may trigger a photoallergic eruption. These include certain antibiotics and oral birth control pills, as well as prescription medicines that are used to treat psychiatric illness, high blood pressure and heart failure. If you are taking a prescription medication, and you normally spend a great deal of time outdoors, ask your doctor whether you should take any special precautions to avoid sun exposure while you are on the drug.

Treatment

If you have a sun allergy, your treatment must always begin with the strategies described in the Prevention section. These will reduce your sun exposure and prevent your symptoms from worsening. Other treatments depend on the specific type of sun allergy:

PMLE — For mild symptoms, either apply cool compresses (such as a cool, damp washcloth) to the areas of itchy rash, or mist your skin with sprays of cool water. You can also try a nonprescription oral (by mouth) antihistamine — such as diphenhydramine or chlorpheniramine (both sold under several brand names) — to relieve itching, or a cream containing cortisone. For more severe symptoms, your doctor may suggest a prescription-strength oral antihistamine or corticosteroid cream. If these remedies are not effective, your doctor may prescribe phototherapy, a treatment that produces hardening by gradually exposing your skin to increasing doses of ultraviolet light in your doctor's office. In many cases, five ultraviolet light exposures are given per week over a three-week period. If standard phototherapy fails, your doctor may try a combination of psoralen and ultraviolet light called PUVA; antimalarial drugs; or beta-carotene tablets.

[Read more at the link provided above]

Avatar universal
I get this too. Mine happens when the pollen is thickest in the air.  That time of year where everything has a coat of pollen turning it yellow/green. A few years back a started showering daily with dial soap, it's antibacterial,  that's the only thing to keep it at bay.  Besides the nightly shower I also wash my hands and forearms with dial a few times during the day,  especially after prolonged periods outside.  I Know that sounds tedious, and it is,  but It's worked and it's totally worth the relief.  Hope this helps
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Avatar universal
I am not alone! I get the hive, raised skin, hot itch on my forearms and chest. Never on my legs or face, sometimes on the top of my earlobes. It’s starts as soon as spring sun starts. And it only starts when I’m exposed to the sun. I’ve tried heavy sunblock and hasn’t done much, next year I’m wearing uv protection clothing lol. I live in Southern California and this started about 6 years ago. Has anyone been officially diagnosed ? It’s so annoying not to have a cure for this.
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I have something similar wherein the spring I would get these patches that would eventual become scaly. I was eventually diagnosed with Pityriasis Rosea. It was treated with a corticosteroid and Keri lotion. The steroid helped significantly and it went away after the spots dried out over the course of several weeks. I will say that being in the sun did help significantly. I am talking sunbathing for hours.
Avatar universal
It’s prob photosensitivity aka sun allergy. I’ve gotten it every year since I was 5 only in the spring and it goes away in a few weeks
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4 Comments
This is what a doctor told me many years ago. I just started this week with my yearly spring itchiness. Starts with small red/pink pimples on my hands, wrists, inner and outer elbows. The itching is agony! All I keep reminding myself is that it will go away in a month or two hopefully. Whether it's the sun, or something blooming this time of the year, I apparently must get used to it. I will mention I am very fair skinned.
Also live in the upper Midwest, forgot to add
Sun allergy. I’m 36 live near Chicago and have gotten it every spring since I was a child. Try using spf 50. The higher number sunscreen helps me. Also at night put cortisone cream on it. That’s over the counter and helps dry it up
Yes, I live in Minnesota and get this every April and it usually goes away in June.  My doc also told me it was an allergy to the sun.  Only exposed spots show a rash and if I am in the sun, the rash is 10 times worse.  I never actually "tan" but rather just remain a blotchy red all the time.  And the itch is ridiculous!!  
Avatar universal
I've been getting this almost every summer for 20 years. Sometimes worse than others. I was told in fifth grade (the first time it happened) that it was called (Fifth disease). That was by my school nurse, and I highly doubt it. The worst I've ever had it was in Middle School. I think because I spent all day outside, and I had no control over the itch. I've been trying to figure out what this is for SO long. A few years ago I thought it might be Ploymorphous Light Eruption, because the itch seems to lessen the more I spend in the sun (and don't itch). I don't know what it is, or how we all got it, but it's definitely annoying. Does anyone else have permanent tiny bumps (scars, I suppose?) from itching too much? Mine from Middle School didn't go away all of the way from my upper arms.
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Avatar universal
I'm sorry to see so many people have the same problem as I but relieved at the same time.  I live on Long Island, and my rash occurs the same time of year (for about 5 or 6 years) as the rest of you and in the same areas.  My dermatologist was not able to help, either.  When looking up my symptoms on the internet, I saw that heat and humidity can cause such a rash, which would definitely make sense in my case.  I'm going to get rubbing alcohol now; thanks for the tip.  Good luck!
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Avatar universal
I have the same issue as everyone else here. Steroid ointments no longer work. Rubbing alcohol helps. I bought a cream off ebay for poison ivy that helps the itching. It is made with jewelweed that is great. it has other stuff in it also. It seems to start every spring and usually when I start cleaning out flower beds and gardening. It seems to happen more when I am out in nature and or dealing with outdoor plants and such. If I scratch a part of my body that is not currently affected, it seems to spread there too. I have had this for the last few years now, I had it about 15 years ago while stationed in japan while in the military and when I was a small child 5-8. While in Japan, my dermatologist did a "punch" on some of it and sent it to the CDC and they was not able to determine what it was.   Heat/sun/warm clothes seem to make it worse. I wake up at night because the itching is unbearable. I run cold water over my arms and hands that make it stop for some time.
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1 Comments
I have the same issue, it appears to be either what is called contact dermatitis which means the skin is just allergic or sensitive to various things such as heat , soaps, foods, anything. or psoriasis , and what has worked for me is tee tree oil (same tactic but better and less harmful than rubbing alcohol) saline solution (sterilized salt water spray)will sting, but can act as a cleanser in removing the bacteria if you want to try it , can make certain rashes worse though.  and as a conditioner and gold bond healing lotion is good for rash prone skin. Hope this helps anyone. :) also try eating healthier foods and drinking a lot of water. Rashes can also be due to unhealthy diets.
Avatar universal
Ugh! I wondered if there were others or just me! I too get this - generally mid to late may and lasts almost through June in New England. Little red bumpy spots usually legs below knee. Sometimes in a vertical row. Hydro-cortisone cream won't touch it. No other meds yet (I hate taking them). Started maybe six or seven years ago, which is weird. Working in dirt with unprotected skin definitely makes it worse. Drives me insane. I noted someone said 70% alcohol helps. I concur - discovered this myself at wits end. Not perfect but does a decent job controlling itching for several hours. I put it on 2-3 times per day,  rubbing pretty hard (eyes roll it feels so good!) Itching subsides almost immediately and the rash tends to dry out sooner, but it still lingers for quite some time. Wish I had an answer...
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I have the same thing!!!!  I use baking soda....  Pour 3 tsps. into cup of luke warm water & stir....  Use the paste you made & rub on areas infected, then wrap saran wrap (or other plastic wrap) around your legs to cover area.  Leave on for a few hours, then discard plastic.  I used this method for 4 yrs now & works wonders.....   PS. Only do this for 3 days or until rash is gone...
Avatar universal
Wow.. I thought I was crazy. I get this nasty itchy rash on my arm every year around spring and it seems to last through summer. I have to to allergist and doctors and they never know what it is. They prescribe stuff but barely touches it. I've noticed that it seems to get better when I dry it out. Like one previous commenter stated, put alcohol on it. Anything moist seems to irritate more. I'm a hairstylist so it's embarrassing when my clients look at it and think I'm contagious and then look at me crazy when I tell them it's a yearly thing and know one seems to know what it is. I'm happy to read that I'm not alone.
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1 Comments
*have been to an allergist
Avatar universal
Wow I thought this was just me, apparently not I'm wondering if it's a particularly location? I'm in Georgia, recently moved from Northern California. I've notice that it starts with little bumps & itch really bad - my kids & hubby say don't itch it, but easier said than done. Rubbing alcohol seems to help some followed by Apple cider vinegar twice or three times a day.
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Avatar universal
Omg!!! I finally found others with the same issue. I had itching that started march 2016 lasted till about July. Then just went away. It was my lower legs and lower back . It seem to start when weather got milder. Now march 2017 it's back! I am starting to think it's either from excessive stress or my leggings with the elastic waitst band . Am I allergic to the fabric in my Leggings and get over heated like a heat rash ? So glad I found this discussion board.
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Avatar universal
I have also been getting this rash every spring. When it started 5 years ago, it was on both shins and both forearms. The next year it was just my shins. And then for 2 years nothing...until this spring. It's on my right shin only and the itching drives me insane! Sometimes it wakes me up at night. When I showed it to my dermatologist years back, she advised me to take 2 seperate allergy meds at the same time (the one in the purple bottle and the one in the green bottle). This is the only thing that keeps me from scratching my skin off. I don't know if this is safe on a long term basis.
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HELLO, CAN YOU PLEASE GIVE ME THE NAMES OF THE TWO ALLERGY MEDICINES? THIS WILL BE GREATLY APPRECIATED.....THANK YOU....
What kind of allergy medicine is it
Avatar universal
I get it too. It started 4 years ago now every spring my legs look like I took a stroll through and ivy patch. I've tried cortisone cream, steriod pills, and predisone. The predisone helped a lot but unfortunately it is no longer able to be giving as a script due to dangerous content that can harm your liver. I wish I knew what this is and why it happens.
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Avatar universal
Me too!!!... for over 7 years now, rash in the early spring on  top of hands & lower arms & I am in New England. Nothing over the counter works & I too don't want to waste time & money for a Dr to tell me they dont know what it is. I decided to try a natural herb shop, since nothing in the dept. stores helped, and discovered CALENDULA OIL, this stuff is great!  Just make sure its real, not some cheap knock off oil.
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Does the oil help get rid of the rash spots? Or just help with the itching? I too, get this every spring- summer. Mainly on my arms! I believe this is a sensitivity to UV rays, funny enough, I tested out going to the tanning bed to see if it would help my skin get used to the stronger rays and sure enough I barely broke out that year! But of course, it's not a healthy alternative. I've skipped out on the bed this year and I'm starting to get spots here and there. I live in Eastern Virginia.
Avatar universal
I get the same rash on the backs of both hands that ebbs and flows from Spring all the way through the end of Summer: small red blisters. I only started getting it when I moved to the Cincinnati area (which is known to be really bad for allergies, with one of the highest pollen counts in the country), so I can only assume it is an airborne allergy, as I always get it well before I start gardening or even spending any REAL time outside). Sometimes it spreads up my wrists to my elbows, but normally just stays on my hands. It's unsightly and I have tried everything OTC to get it to go away, but nothing usually helps. If anyone knows of something to help at least take the red out, that would be great!
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Avatar universal
I get this yearly and have for many years.  It normally just appears on my hands.  A good dr explained it to me this way.  He said that there is something that i'm allergic to, whether it be airborne, contact or whatever and my hands just happen to be where the allergic reaction appears.  Doesn't have to be contact dermatitis to cause a blister type reaction.  It looks very similar to poison oak/ivy breakouts but on a smaller scale.  I've learned to just ignore it.
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Avatar universal
I've been getting a dry, red, slightly raised itchy rash on the back of my neck every march for about 6 years. It also spreads to my stomach/back. I've been to many doctors and they say its fungal. I do not know why its reoccurring. I have been prescribed triamcinolone acetonide cream which takes it away and also econazole nitrate which also takes it away. The rash goes away but comes back every spring
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Avatar universal
Thank God I'm not alone. Did you ever get an answer? I'm so sick of hearing "contact dermatitis."  Happens on my shins and I can really tear it up if I don't get a handle on it quickly. Wet treatments make it worse. I use Gold Bond and Calamine.  I first remember it happening in about 2000 or so. Living in MA. Have since lived also in PA and MD. Forced air and got water baseboard heat. No known allergies. No pets. Clean homes. No answer. I said to my husband, "well, you know it's Spring when my shin starts itching!!"  pulled up my jeans and I had already distractedly torn it up a bit. Sometimes it's both shins. Sometimes only one. This seems to be just left shin this year.    What the heck is it??
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Avatar universal
I get this same thing and looks like no ones knows what it is. I've had it for at least 6 years. Mine starts with a warmer weather as well, so May early June (I've lived in NYC and New England during those years). It lasts almost the entire summer on my arms, around my elbows and forearms and my shins and/or calves. It is usually sparked by one of the first hot humid days. Nothing helps! Steroid cream made it dissipate faster last summer, but doesn't seem to be having much affect this summer. I have tried everything it is miserable! But I do find it interesting that it is around the same season for everyone. Allergy medicine does not work. Anti itch creams do not work. I think one summer when it felt insane I tried everything and bikini zone at least made the itch/pain subside a bit.
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Avatar universal
hi I been getting    this allergy  to foods  for years and    for last   10 years  I get   rash on my legs   which   comes   in spring  summer  but  when it feezes    goes  away and    eating   certain    foods   while I have  this    comes  worse  
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Avatar universal
I am having the same problem ! From March to late APril I break out in horrible itching spells. Did anyone figure out what it wAs?
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
These blister like rashes can be due to plant contact eczema where the smaller vesicles have joined up to form a blister, phytophoto reactions from limes, parsley and celery or due to eczema skin.

Since these appear only during certain times of the year and not the whole year round, so an evaluation from an allergist is required to confirm the diagnosis.

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 dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.


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