Resolved question:
I am 55 year old female. For the past 3 years, I have had itcy arms. For the past 8 months it is almost unbearable. This itch is from inside of my elbow up my arms, and up the side of my neck,, ending just under my jaw. This itch is a deep hot burning itch. There is no rash. No creams or antihistimines have helped.
I have been to allergist, who found nothing, as well as dermatologist, who looked at me like I was crazy, because there was no rash.
It will start with no reason, but usually at it worse from 4pm to midnight. It wakes me frequently during the night.
I end up stratching it so much, that occassionally it bleads.
My dr. did blood workup, and all is great, with the exception of slightly elevated chloresteral. (I take a low dose of crestor). Kindney and liver function great. no problem with hormone levels, not celiac.
No hypertension. My blood pressure is consistently 117/74.
Submitted:
4 Days
Category:
Family Physician-GP
Hello,
Thank you for choosing DoctorSpring.
I have discussed your consult with our team Dermatologist .
WE would like to know some additional details from you so that we can provide our best and learned opinion.
1. Do you get these itchings in the night only ? What about day times ?
2. Do have itching on all the days ? For example if you are out on a trip (not sleeping at your home), do you still get it?
3.Have you tired any medications?
You can reply as a followup
Thank you
I itch 24/7, but it is worse at night. This could be because I am not doing other distracting things. It happens everyday, all day, at home or away.
I tried novo-hydroxyzin 25 mg, as well as emo-cort 2.5%. Neither of these had any effect.
Hello,
The symptoms are suggestive of a condition called Brachioradial pruritus.
This is one possibility to consider. BUT do note other possibilities are there. Topical capsaicin led to improvement in itching. You should discuss this option with your Dermatologist. First line options for oral therapy in patients who do not respond to local therapies include gabapentin and pregabalin. First I would recommend you to give Capsaicin cream a try.
Hope this helps
Feel free to ask followups
Thank you