I've scoured all the skin-related posts and couldn't find an answer for this one. I'm having my second bout this year with red, circular rash-like skin irritations that two Johns Hopkins dermotologists can't seem to diagnose. They're thinking of bringing me in front of a committee of docs to try and figure it out!
These patches are not painful at all and do not really itch - and don't appear to be seasonal. They show up at the joints (elbows mostly, but a little at the knees) and only on the underside, but they also run appear on my abdomen (where they are the worst), chest, and even an eyelid! They generally start on an elbow and spread over weeks and months - they start as small circles and grow to 2"-3" in diameter, sometimes merging with others. The skin itself eventually looks like a blister broke a long time ago (only there was never a blister) and the skin inside the circle is scale-y and flaky.
I've tried two different topical creams and the first time this happened the second cream, Pandel, worked right away. A biopsy showed it was some kind of eczema and I was told not to worry. But the condition came back within months and now the dermotologist is stumped. I'm waiting on results from a second, more extensive biopsy.
I have to think this is Crohn's related - and the doctor is beginning to think it is somehow related to inflammatory disease - but does this sound familiar to anyone? It's definitely not the worst Crohn's related thing in the world, but I'm really anxious to know what it is and how it might be treated. My best guess is that it will be recurring and I'll always have to try different creams or may an oral med (steroids?)...
Any insight would be appreciated!
Dx w/Crohn's November 2005 - still active as of November 2007 Hospitalized once, no surgeries
Colonoscopy, 2 ultrasounds, MRI, upper GI x-ray, abdominal x-ray, 2 camera endoscopies
First, Flagyl/Cipro, Prednisone, and Pentasa
10 Remicade treatments
Currently just Pentasa (4000 mg) b/c trying to get pregnant
Symptom-free (mostly) since March 2006