Q. I suffer from an itchy skin that appears as a wealt my doctor says it is contact dermitis, or is it uticaria I have numerous spots appearing on my neck shoulders elbows and buttocks, they vary from small itchy spots to quite large weals they come and go, I am on antihistamines, but they only give relief occasionally, the weals and terrible itching is worse at night, and I find it difficult to sleep because of the intense itching, my gp says it may be 'contact' dermititis, but I think it may be uticaria, can you help please A. Urticaria (AKA Hives) is the name of this bulging red rush of yours. 'contact' dermatitis is an allergic reaction that can be shown as hives. so it's pretty much the same thing. i suggest try and find out what is the cause of all this- there must be a reason for that allergic reaction. start by when the rash started and what is the material you were exposed to in that area of time.
Vulvar dermatoses may be manifested by itching and, in some cases, pain ( Figures 3 through 5 ) . Vulvar dermatoses include papulosquamous (thick and scaly) lesions. Erosions or ulcers may result from excessive scratching. If the patient has blisters or ulcers and denies scratching, the cause may be a vesiculobullous disease. Differential diagnoses of papulosquamous lesions and vesiculobullous lesions are included in Table 2 . 6 Neoplastic lesions include extramammary Paget's disease, squamous cell carcinoma, lichen sclerosis and vulvar intraepithelial neoplasia. 6 Colposcopy and biopsy as indicated are recommended to rule out dermatoses or neoplastic lesions ( Figure 6 ) . A recent study showed the most common cause of symptomatic vulvar disease (itching or burning) to be dermatitis or another dermatosis. 18