Eczema associate with scabies?
I had suffered pompholyx (dyshidrotic eczema), patchy eczema, seborrheic eczema within 5months! Right now I found the root caused and I hope it would help! Here is my story.
Oct 2015
I had vacation on an island with my friends and we live in very old house staying for two days. During that time I having serious fever. When i back home i realize I get bitten by insect (I was guess it was dust mite since I allergic to dust mites, it always caused me big swollen bumps) but this times is like small red bumps on my leg. I was not care about it and keep scratching it.
Nov 2015
I having some bumps on my arms but I was suspected it was caused by working environment (shipyard) since I always exposed to some common allergen such as nickel, fibre glass, chromium, etc. I was just applied some spicy ointment to relieve my itchiness include my arm and my leg(caused by vacation during Oct 2014).
Dec 2015
My fingers suddenly poped up blisters and it slowly spread to my palm. I was suffered and restricted in daily activities include working. I was immediately went to see Dermatology and doctor said it was due to Allergic Contact Dermatities. I was told him my histories of skin problems but he seems like ignore my story of vacation at island. He gave me corticosteroid such as oral steroid and topical steroid cream to apply. I also did blood test and the result showed I am exactly exposed to allergen since my igE (Immunoglobulin E) went up to 1731 IU/mL as 20x compared to normal human, To be surprised all my blister gone after the second day i consumed steroid. Although, the red bumps on my leg become worse as I always scratch it and it never get better.
Jan 2016
After my pompholyx cured I went to re-diagnosed at Dermatology and again doctor gave me 6weeks doses of Prednisolone (oral steriod). I stopped consumed it for second weeks as I felt serious headache. Prednisolone does giving these several side effect included headache. Again, the blisters appear on my fingers occasionally but it was not serious like the first time. Besides, the red bumps on my leg start to spread slowly to my other parts of body(waist and arm).
Feb 2016
I went back hometown 9 days for celebrating Chinese New Year. The day I back home my hand still have few blisters. But after third days at home, the blister start to disappear. My red bumps at my leg, waist and arm slowly cure after I applied ointment took from the pharmacies.
Very sad, when all symptoms included red bumps, pompholyx spread seriously after I back to work. I was very depress and tried to apply any method I search on Internet. I tried vege-diet, apple cider vineger, non-sugar diet, apply Vaseline, etc but it dint get well.
Mar 2016
I had difficulties to go into public place as the red bumps spread to my wrist, neck, ass, (but not penis) etc. Those bumps develop into small blisters with yellow pus and they combines into a big wound. The wound exudate yellow fluids and it never cure like normal wound. Those wounds spread around my body eventually affect my daily activities and even sleeping! I was fall into dilemma situation when choosing pants for outing. This is because the friction between the fabric and my wound killing me if I wear long pants. In contrary, the public will look at me like AIDS patient if i expose my disgusting wound when I wear short pants.
I was went to see Dermatology again, I was hoping doctor give me any miracle medicine that would cure me. He was given me steriod cream (Fluriocino cream) and some antibiotic to prevent wounds gets infection. I felt more depressing as the steroid cream do not cure me totally as the new wound appear while the old one do not cure.
After awhile, I even having seborrheic eczema on my eye socket, nose, beard and scalp! I started to panic and anxiety about my condition because I afraid I will become bold!
During mid of march I immediately take leave from work and back to my hometown since I suspect my house is the place that I able to avoid allergen.
19th March
My parents brought me to see Traditional chinese doctor and doctor diagnosed me as chronic eczema. It was broken heart my situation do not cure by big big of Chinese herbs some-more it got worsen.
22th March
My parents brought me to Government Hospital since they have very good facilities. I was first assigned into normal clinic to diagnose my problem but the Doctor thought I having chicken pox instead of eczema.... After argument and explanation to him, eventually he referred me to skin dermatology. Again my heard is broken that nurse arranged my appointment on 11th April instead of diagnose me immediately even i told her my situation is bad.
During I was feeling depressing, desperate, suffering and anxiety, i remembered my friends introduced me a skin dermatology clinic that near my house. I decided to give a tried. Doctor again diagnosed mine is chronic Contact Allergic Eczema, he referred me to hospital as he is out of idea to further diagnose me. All he could do is give me high dose of steroids to temporary relieve my situation. In such situation, I only could accept steroid although I know it would not cure the root cause. As expected, my condition getting better after i consume 30mg of oral steroid for first day and reducing 5mg day by day. The big wound start to recover instead of exudate yellow liquid. Even so, there are still have amount of smaller red bumps occur thigh, arm, elbow, chest, leg. Doctor suspect my body still fighting on it.
28th March
My situation get worse again when I reduce my dose of steroid to 10mg. My wound start to wet and my blister on my hands become yellow in color. I went to see other doctor that introduced by my relatives (He is not specialist but experience doctor). I knew no matter how I have to give it a try since I am totally out of ideas. After I explain my long story to doctor. He suspect I had scabies infestation as my several wound looks alike scabies infected. He gave me Scaboma lotion and antibiotics cause my wound been infected (concentrated yellow- green color liquid exudation). I been advise my cloths and bedding must be exposed under hot sun for few hours to kill the scabies.
29th March
My red bumps, big wounds, pompholyx, patch eczema all beginning to cure (quite quick condition). Although I am not 100% sure that the root cause is scabies, but thanks god I am starting to cured!
Overall Analysis
Due to my research and reflection, I am highly suspect I had scabies during October 2015. The symptoms start appear after 6weeks such as red bumps on my arm as prescribe in internet. "The movement of mites within and on the skin produces an intense itch, which has the characteristics of a delayed cell-mediated inflammatory response to allergens. IgE antibodies are present in the serum and the site of infection, which react to multiple protein allergens in the body of the mite. Some of these cross-react to allergens from house-dust mites. Immediate antibody-mediated allergic reactions (wheals) have been elicited in infected persons, but not in healthy persons; immediate hypersensitivity of this type is thought to explain the observed far more rapid allergic skin response to reinfection seen in persons having been previously infected." As different person with different body structure, I guess pompholyx and patchy eczema were my allergic reaction due to scabies (most the things will caused me allergic since my igE damn high). On the other hands, I am also suspected allergen at my workplace such as nickel, chromium, caused me allergic since there are articles spoke about possibilities late allergic reaction on occupational allergic.
Right now I have to extremely be-careful and aware to any allergen that caused me allergic while I hope my immune system will recover as normal since I consumed a lot of oral steroid. Beside, if the cause is really from scabies, I have to aware all my friends that had skin contact, shared towel, cloths and bedding with me. Most of the times scabies will attacked human who in low immune system. I sincerely hope they are alright! For 5months of research and studies, there are three factors affect the increasing in igE, those are HIV, intestine parasite and allergen. But I would like to add on a new factor, that is scabies infestation. That’s my conclusion. I hope it would help people who suffered from eczema. Thank you.