What is the cause of a pruritic rash in both axillae (armpits)?

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Differential Diagnosis for Itchy Rash in Both Armpits

  • Single Most Likely Diagnosis
    • Contact dermatitis: This is a common condition that occurs when the skin comes into contact with an irritant or allergen, leading to an itchy rash. The armpits are a common area for contact dermatitis due to friction, sweat, and the use of personal care products.
  • Other Likely Diagnoses
    • Eczema (atopic dermatitis): A chronic skin condition characterized by itchy, inflamed skin, which can affect the armpits.
    • Intertrigo: A skin condition caused by friction and moisture, leading to an itchy, red rash in skin folds, including the armpits.
    • Seborrheic dermatitis: A condition that causes a red, itchy rash, often in oily areas of the body, including the armpits.
  • Do Not Miss Diagnoses
    • Inverse psoriasis: A type of psoriasis that occurs in skin folds, including the armpits, and can be itchy and painful. Missing this diagnosis could lead to delayed treatment and worsening of symptoms.
    • Lymphoma (cutaneous T-cell lymphoma): A rare type of cancer that can cause skin lesions and rashes, including in the armpits. Early detection is crucial for effective treatment.
  • Rare Diagnoses
    • Dermatophyte infection (tinea axillaris): A fungal infection that can cause an itchy rash in the armpits.
    • Pityriasis rosea: A rare skin condition that can cause an itchy rash, although it typically starts on the trunk and spreads to other areas.
    • Granuloma glutiale: A rare skin condition caused by long-term use of certain medications or irritants, leading to itchy, painful lesions in the armpits.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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