From the Research
No, Dutch itch rash does not resemble a hemorrhage. Dutch itch, also known as swimmer's itch or cercarial dermatitis, typically presents as small, red, raised bumps or pimples that are intensely itchy, as noted in various studies on skin conditions 1, 2, 3, 4. These bumps appear where parasitic larvae have penetrated the skin, usually after swimming in contaminated water. In contrast, a hemorrhage involves bleeding, appearing as red or purple discoloration that doesn't blanch (fade) when pressed, often spreading under the skin. The treatment for Dutch itch includes topical corticosteroids like hydrocortisone cream (1%), antihistamines such as diphenhydramine (25-50mg every 4-6 hours) or cetirizine (10mg daily) for itching, and cool compresses, as discussed in the context of treating similar skin conditions 1, 2. The rash typically resolves on its own within 1-2 weeks. The distinction is important because hemorrhages may indicate serious underlying conditions requiring immediate medical attention, while Dutch itch, though uncomfortable, is generally harmless and self-limiting. Recent studies on the efficacy of treatments for fungal infections, such as the one comparing oral terbinafine doses for tinea corporis and cruris 5, do not directly address the appearance of Dutch itch but highlight the importance of accurate diagnosis and appropriate treatment for skin conditions to prevent misidentification of harmless conditions with more severe ones.