How do doctors tell the difference between eczema and hives? (photo)

Doctor's Answers 1

Thanks for the question. Eczema and hives and both common skin conditions that can be very itchy.

Hives, also known urticaria, appears like mosquito bite-like wheals on the skin. They can be small or large and they can be shaped like a map.

They usually last for minutes to hours before settling without scars or marks. It can appear again on another part of the body.

Eczema is due to inflammation of the skin. The skin is often red, and can be oozy and weepy in acute eczema or even thick and raised in chronic eczema. The background skin is often dry. Eczema is more persistent than hives and usually can persist for days to weeks or longer.

So if the rash lasts for a minutes to hours before it settles, this is more likely to be hives.

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What could be the cause of a red, circular and itchy patch on the leg? (photo)

Thank you for the question. The circular patch can go for a patch of eczema. This is often aggravated by scratching and I think it would be advisable to tell your brother to refrain from scratching. Applying moisturizers to the area also helps the eczema. Eczema also responds well to topical steroid creams. If the patch is persistent, you can consider visiting your doctor to get it properly assessment. A fungal scraping may be ordered to rule out a fungal infection if necessary.

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How can I get a definitive diagnosis for a skin condition in Singapore?

It must be frustrating to be having these itchy rashes for 3 weeks. PUPPP often occurs in the third trimester of pregnancy and improves on delivery, although I have seen some people develop this condition after delivery. To be more certain about the diagosis of your skin condition, you might want to consider visiting your dermatologist. Dermatologists specialize in the diagnosis and treatment of skin disorders and will be able to assess your condition and advise you on the appropriate treatment and management.

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