What is the cause of a well-rounded, pruritic rash on the abdomen, legs, and arms?

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Differential Diagnosis for Well Rounded Itchy Rash on Stomach, Legs, and Arms

  • Single Most Likely Diagnosis
    • Atopic Dermatitis (Eczema): This is a common condition characterized by itchy, inflamed skin that can appear anywhere on the body, including the stomach, legs, and arms. The well-rounded nature of the rash and the presence of itchiness are consistent with eczema.
  • Other Likely Diagnoses
    • Contact Dermatitis: This condition occurs when the skin comes into contact with an allergen or irritant, leading to a rash. It can appear as a well-rounded itchy rash on exposed areas such as the stomach, legs, and arms.
    • Urticaria (Hives): Although hives are typically more transient and can change shape, they can sometimes present as well-rounded itchy rashes on various parts of the body, including the stomach, legs, and arms.
    • Pityriasis Rosea: This is a skin condition that starts with a single patch (herald patch) followed by an eruption of smaller patches, often on the trunk, but can also appear on the arms and legs. Itchiness is a common symptom.
  • Do Not Miss Diagnoses
    • Bullous Pemphigoid: An autoimmune disease that can cause large, itchy blisters. Although less common, it's crucial to consider due to its potential severity and the need for specific treatment.
    • Erythema Multiforme: A skin condition characterized by target lesions, which can sometimes appear as rounded rashes. It's essential to recognize due to its association with infections and medications.
    • Cutaneous T-Cell Lymphoma (Mycosis Fungoides): A rare type of skin cancer that can initially present with itchy, rounded patches. Early diagnosis is critical for effective management.
  • Rare Diagnoses
    • Sarcoidosis: A condition that can affect multiple organs, including the skin, leading to rashes. Skin manifestations can be varied, including itchy, rounded rashes.
    • Mastocytosis: A disorder caused by an accumulation of mast cells in one or more organs, including the skin. It can present with itchy skin lesions, although this is less common.
    • Leprosy: A chronic bacterial infection that can cause skin lesions, including rounded, itchy rashes, particularly in its early stages. It's rare in many parts of the world but should be considered in endemic areas or in individuals with relevant travel history.

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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