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Medical Forum / General / General / March 2004

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Itchy, red bumps on both forearms...what was this rash?

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Legend - 11 Mar 2004 17:22 GMT
This Monday night I noticed a rash on both of my inner forearms,
consisting of small red bumps, extending for an area about 5 inches
long and 2 inches wide. It was itching but not to a great degree.
Tuesday morning it was still there, and throughout the day Tuesday the
degree of itching would increase then decrease. But by the end of the
work day the entire area was red and inflamed, the bumps had increased
in size, and it was itching badly. When I got home from work I
immediately applied some Clobetasol Propionate cream (topical
corticosteroid). In a short while the itching had subsided.

Wednesday morning there was no itching, the red bumps and inflammation
had greatly subsided, and the bumps had decreased in size. Throughout
the day I had little or no itching at all. By Wednesday evening the
red bumps had decreased in size even further to small red dots.

Thursday morning the red bumps have all but disappeared, they are only
faintly visible. The entire area is almost back to normal skin color.
There is no itching at all.

What was this rash? I'm a 44 year old male, I've never had any
allergies in my life. A year ago I saw a dermataologist because of a
very small area of (clear not red) itchy bumps on my fingers that
would come and go. He told me that this was eczema, and prescibed the
Clobetasol Propionate cream, which is why I had some on hand. I
suppose my current rash could have been eczema as well, but the
symptoms, and the size of the affected area, are different.

My guess is that this was some form of contact dermatitis. Due to the
location of the rash, I believe this may have been caused by exposure
from a weight machine that I use at a Bally's gym where I work out.
The exercise on this machine is done by placing both forearms against
pads, and then pushing inwards toward your chest (Pec Flys). The rash
corresponded to exactly where both my arms contact the pads.

I work out on this machine Monday, Wednesday, and Friday every week,
so prior to me noticing this rash on Monday night, the last time I was
on that machine was that Monday evening, and the previous Friday
evening. I also spend a short time in the hot tub and the pool at the
gym each time I'm there.

The weekend prior to the rash I also spent a good deal of time in
chlorinated pools, spending the weekend at a water park.

I'm curious whether a rash like this can come and go so quickly on
it's own? Or was the one application of the Clobetasol a factor in the
rash going away so quickly? Any insights on the nature of this rash
would be greatly appreciated. Thanks.
geek_girl - 11 Mar 2004 18:02 GMT
> This Monday night I noticed a rash on both of my inner forearms,
> consisting of small red bumps, extending for an area about 5 inches
[quoted text clipped - 5 lines]
> immediately applied some Clobetasol Propionate cream (topical
> corticosteroid). In a short while the itching had subsided.

> My guess is that this was some form of contact dermatitis.

Yes, most likely.

> Due to the
> location of the rash, I believe this may have been caused by exposure
> from a weight machine that I use at a Bally's gym where I work out.
> The exercise on this machine is done by placing both forearms against
> pads, and then pushing inwards toward your chest (Pec Flys). The rash
> corresponded to exactly where both my arms contact the pads.

That's exactly what occurred to me when you described the location of
the rash. I sometimes get contact dermatitis if my skin comes into
direct contact with the pads on the machines or benches. I don't know if
it's the covering itself, or maybe something used to clean them, but
I've had exactly the same thing happen.

> I'm curious whether a rash like this can come and go so quickly on
> it's own?

Yup, sometimes. I've had them come and go in a matter of hours, even
without any treatment.

> Or was the one application of the Clobetasol a factor in the
> rash going away so quickly?

Could be that too.

> Any insights on the nature of this rash would be greatly
> appreciated. Thanks.

As you suggested, it's most likely contact dermatitis from the pads on
the machine. AFAICT your options are to stay away from the machines and
stick to free weights, wear long sleeves to keep your skin from directly
contacting the pads, or just keep doing what you've been doing and keep
the steroid cream handy.

HTH
Justin Case - 11 Mar 2004 19:30 GMT
>This Monday night I noticed a rash on both of my inner forearms,
>consisting of small red bumps, extending for an area about 5 inches
[quoted text clipped - 29 lines]
>pads, and then pushing inwards toward your chest (Pec Flys). The rash
>corresponded to exactly where both my arms contact the pads.

I have this right now. The rash corresponds exactly to the lying leg
curl machine with the handles underneath. I have the rash on my quads
just below the line of my gym shorts and the inner part of the upper
arms.
It's insanely itchy so I had to get a prescription creme.
This sucks! I hate wearing long sleeves and gym pants 'cause I get hot
enough to friggin melt.
geek_girl - 11 Mar 2004 19:52 GMT
>>This Monday night I noticed a rash on both of my inner forearms,
>>consisting of small red bumps, extending for an area about 5 inches
[quoted text clipped - 39 lines]
> This sucks! I hate wearing long sleeves and gym pants 'cause I get hot
> enough to friggin melt.

So do what I do - stay off the leg curl machine and do SLDLs and/or GMs
instead.
Justin Case - 11 Mar 2004 20:06 GMT
>> I have this right now. The rash corresponds exactly to the lying leg
>> curl machine with the handles underneath. I have the rash on my quads
[quoted text clipped - 6 lines]
>So do what I do - stay off the leg curl machine and do SLDLs and/or GMs
>instead.

Yup, That's what I plan to do. But now I wonder about what other
unpleasantness might be on the other things I use, like the flat &
incline benches & dumbell seats.
Bob Falooley - 11 Mar 2004 20:12 GMT
> I have this right now. The rash corresponds exactly to the lying leg
> curl machine with the handles underneath. I have the rash on my quads
[quoted text clipped - 3 lines]
> This sucks! I hate wearing long sleeves and gym pants 'cause I get hot
> enough to friggin melt.

Ask your gym why they arn't using your gym dues to pay people to go around
and sanitize the pads every once in a while.

--Falooley
Kelly Farrell - 30 Mar 2004 13:34 GMT
starved@rock.com (Legend) wrote in message
"I immediately applied some Clobetasol Propionate cream"

Clobetasol should never be your first choice due to it's strength and
dangers.

"What was this rash?"

Sounds like a contact rash thus far.

"I'm a 44 year old male, I've never had any allergies in my life."

Then how did you get Clobetasol?

"He told me that this was eczema"

Any itchy rash is an eczema, including poison ivy.

"prescibed the Clobetasol Propionate cream"

This was a Derm?! Clobetasol is not a first choice but the last choice
as it is a Class 1 steroid reserved for severe or recalcitrant eczemas
in atopics. I have to question whether this was a GP and not a Derm?
and if a Derm, is he board certified because Derms just don't
prescribe Clobetasol to newbies.

"I suppose my current rash could have been eczema as well"

All itchy rashes are eczema.

"My guess is that this was some form of contact dermatitis."

Which is an eczema.

"The rash corresponded to exactly where both my arms contact the
pads."

Probably the source.

"I'm curious whether a rash like this can come and go so quickly on
it's own"

Reactions can be acute which means they come on rapidly and Clobetasol
would most definitely rid it quickly.

Thanks,
Kel
 
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