Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Skin exfoliation, Skin weeping
Clinical narrative: Starting in late May 2021, early June, I started to have a rash in certain parts of my body so my under arms and buttocks. Then a little bit on the inner thigh, in the groin area. It was red and very itchy. I tried myself to use triamcinolone on it because it was decent for most heat rashes and it would get better. I would stop using it and the same rash in the same spots would return with the itching. It got worse in September and so I finally saw a dermatologist on 9/11/2021. She prescribed triamcinolone but slightly stronger than what I had. 0.1% and applied that to the affected areas. In addition to the rash, I was starting to get it on the legs and arms more and they were starting to get some oozing, not quite a blister but similar. So, I was prescribed the triamcinolone to see what happens. It didn't do a whole lot, so then on 9/22/2021, I went back to the facility. She did a biopsy for my upper right arm between shoulder and elbow and tried clobetasol propionate 0.05% again to be applied to those affected areas for no more than 7 days at a time. She got back the results of the biopsy and it came back pretty conclusive for contact dermatitis and recommended that I see another doctor. He did over 100 patch tests and narrowed down the allergies all based off my bathing products, laundry products, house cleaning products, etc. did a core test and added more based off the products I was using. Based on the testing, it was concluded that I have allergies to benzoic acid, all benzoates, cobalt, linalool, limonene, hydrocortisone. Tests performed and concluded 11/01/2021 then 11/03/2021 patches were taken off, then on 11/05/2021 saw him for the last time and concluded his results based on the reactions. He did prescribe a different cream to use that I haven't used, but it does reduce immune system pimecrolimus 1.0% cream. Again, with what a doctor prescribed things were get better than they went back. I've had rashes from the top of my head all the way down to in between my toes. That happened around Christmas to New Year's and that was after seeing what my contact allergies were. I've continued since then to have rashes on buttocks and inner thighs. Itches, red, flakes, bleeds at times. Next appointment was Feb 18, 2022. She wanted to try with what rashes she saw, buttocks, arms and elbows, she wanted to rule out scabies. She prescribed a treatment for that as well since that was a onetime thing (body wash and repeat following day). Didn't really help a whole lot. I saw the doctor again on March 24, 2022. She wanted to try one more thing, especially with the buttocks area, she prescribed a shampoo to wash my buttocks with - ketoconazole 2.0% shampoo. I've been doing that with the clobetasol propionate, I've been doing that with my buttocks and inner thigh and the rash is still persistent. I have a follow up on May 12, 2022 and if it doesn't get any better, she may do another biopsy with the buttocks. She's unsure of what may be causing this and ruling out contact allergies. Prescribed 2 other ointments for 2 other skin issues but isn't related to this issue.