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Itching and bumps on shoulder due to sunbathing or polymorphous light eruption

What is the cause and remedy for my shoulder itching so intensely that I can't stand it for about a week now and little bumps come up after I scratched the area a lot?
(19 Nov 2008)

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The description of your rash fits in with a number of skin conditions so it is important that you see a dermatologist to get an accurate diagnosis. From what you have described, it is possible that you have Dermatitis Herpetiformis which is the physical manifestation of Celiac disease. Celiac disease is an autoimmune disease in which the body's immune system attacks its own healthy tissues. This disease is principally a bowel disease but bowel symptoms such as diarrhea, bloating, constipation etc. may be absent. These reactions are brought on by gluten which is found in wheat, rye and barley products. There are various prescription medications that are used to control and completely eliminate the rash. If you are diagnosed with Celiac disease, you will have to follow a strict gluten free diet to ensure that your rash does not return.

If you are fond of sunbathing or if you have been exposed for a prolonged period to direct sunlight it is possible that your skin condition is nothing more than a heat rash. You can apply a calamine lotion to soothe your skin and the rash will gradually disappear. If you have visited a tanning salon recently, you may be suffering from polymorphous light eruption which is a reaction to the ultraviolet radiation from the tanning bed. Many tanning salons use beds that have a very high output (10% UVB output). Make sure that you use a tanning bed that has a 2.5% to 5% UVB output to avoid reactions. In addition to this improper cleaning practices can also lead to skin rashes. If the bed is not cleaned well, you might contract a skin infection from the previous user. Residue from the liquid cleaners used to clean the bed can also cause an allergic reaction. Make sure that the bed is cleaned thoroughly in your presence to avoid further reactions.

If you generally sleep on your back, your itch may be brought on by an allergic reaction dust mites. Make sure that your bedroom is well ventilated and that your mattress is cleaned frequently to control and reduce mite population. Dust mites require humidity to survive so it is necessary to air out your mattress and pillows regularly. You can use an over the counter hydrocortisone cream to treat the itching and your rash will soon subside.

There are also several medications such as potassium iodide that can cause rashes. It is important that you visit a certified dermatologist to get an accurate diagnosis and treatment.

answered by G B on 19 Nov 2008, 3:21:39

 

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