I'm really worried about these rashes that have appeared on my hands, legs, and scalp. They're big and cause a lot of itching and redness. My scalp is also itching, and I've noticed my hair's been falling out. It seems to flare up mostly in the morning and evening. What could be causing this?

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

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The symptoms you're describing, such as big rashes, itching, redness, and hair falling, could be indicative of an allergic reaction, skin condition, or other underlying health issue.

Possible Causes

1. Allergic Contact Dermatitis: An allergic reaction to substances like soaps, detergents, metals, or plants.
2. Atopic Dermatitis (Eczema): A chronic skin condition characterized by dry, itchy, and inflamed skin.
3. Seborrheic Dermatitis: A skin condition causing scaly, itchy, and red patches on the scalp, face, and other areas.
4. Psoriasis: An autoimmune condition causing red, scaly, and itchy patches on the skin.
5. Fungal or Bacterial Infections: Infections like ringworm, impetigo, or folliculitis can cause rashes, itching, and redness.

Timing of Symptoms

The fact that your symptoms worsen in the morning and evening suggests that they might be triggered by:

1. Temperature changes: Changes in temperature and humidity can exacerbate skin conditions.
2. Soap or detergent use: Harsh soaps or detergents can strip the skin of its natural oils, leading to dryness and irritation.
3. Clothing or fabric irritation: Certain fabrics, dyes, or finishes can cause skin irritation.

What to Do Next

1. Consult a dermatologist: Schedule an appointment with a dermatologist to determine the underlying cause of your symptoms.
2. Keep a symptom journal: Track your symptoms, including when they occur, to help identify potential triggers.
3. Avoid harsh soaps and detergents: Switch to gentle, fragrance-free cleansers and laundry detergents.
4. Apply moisturizers and topical creams: Use over-the-counter moisturizers and hydrocortisone creams to help soothe and calm the skin.
5. Avoid scratching: Try to resist scratching, as this can further irritate the skin and lead to infection.

Answered 04/07/2025