Determining the Cause

Chief Complaint: Pruritus

History or Physical Exam Hyperemia of the Skin

Differential Diagnosis

Contact Dermatitis: This can be caused by contact with allergens or irritants, resulting in redness and itching.

Atopic Dermatitis (Eczema): A chronic inflammatory skin condition characterized by itching, redness, and sometimes oozing or crusting.

Urticaria (Hives): Raised, itchy welts on the skin that are often accompanied by redness and can be triggered by various factors, including allergens.

Psoriasis: An autoimmune skin condition characterized by red, scaly patches of skin that may itch and burn.

Scabies: An infestation of mites that burrow into the skin, causing intense itching and redness.

Fungal Infections: Conditions like ringworm or candidiasis can cause red, itchy skin.

Allergic Reactions: Allergies to medications, foods, or insect stings can lead to generalized itching and skin redness.

Insect Bites or Stings: Mosquito bites, bee stings, or other insect bites can cause localized itching and redness.

Drug Reactions: Some medications can cause skin reactions, such as drug-induced hypersensitivity syndrome (DIHS) or Stevens-Johnson syndrome.

Scaly Skin Disorders: Conditions like pityriasis rosea or nummular eczema can cause itchy, red, scaly patches of skin.

Dermatitis Herpetiformis: A skin manifestation of celiac disease, causing intensely itchy, red, blistering lesions.

Autoimmune Skin Diseases: Conditions like lupus or dermatomyositis can cause skin rashes, redness, and itching.

Inflammatory Skin Conditions: Conditions like lichen planus or granuloma annulare can cause red, itchy plaques on the skin.

Parasitic Infections: Infections like cutaneous larva migrans or hookworm infections can cause skin irritation, redness, and itching.

Neurological Causes: In some cases, neurological disorders can cause itching without an obvious skin rash.

Systemic Causes: Underlying systemic conditions like liver disease, kidney disease, or thyroid disorders can manifest with skin symptoms, including itching and redness.

Next Pivotal Assessment Finding

 

Furher History or Physical Exam

 

 

 

Pruritus

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