Lotion is meant to soothe itchy skin, but some people with lupus find that certain lotions make itching worse. Other possible triggers include sunlight, hot baths, certain fabrics, household chemicals, smoking, and some medications. Skin itching can occur with both cutaneous lupus and systemic lupus erythematosus (SLE).
For some people, the itch can be severe and distressing. “It gets so bad, I want to rip off my skin,” one MyLupusTeam member said.
“My lupus skin symptoms drive me crazy sometimes,” another member shared. “The itching, burning, and stinging sensations send shock waves down my spine. Somebody make it stop!”
This article discusses why lotion and other everyday factors may make itching worse when you have lupus and shares six tips for managing itchy skin.
Many people with lupus report itchy skin after showering, especially with hot showers. Hot water can dry out skin and make itching worse.
“You may find that you cannot shower every day, as that is too drying, especially in colder weather,” a MyLupusTeam member said. “Just remember to apply moisturizer on the days when you skip showering. If you don’t, the itch will start again.”
If daily showers dry out your skin, try showering every other day. This may help your skin retain its natural oils and moisture.
On days you don’t shower, a quick sponge bath using a warm washcloth on your underarms, groin, and feet may be enough. When you do shower, keep it short — five to 10 minutes — and use lukewarm water.
Use soap only on parts of the body that need it, and consider switching to a gentle, fragrance-free cleanser instead of bar soap. To help protect your skin barrier, pat your skin dry rather than rubbing it with a towel.
“My skin gets very itchy. I solved the problem by taking loratadine in the morning and cetirizine in the evening. This combination helps tremendously!” one MyLupusTeam member said.
Antihistamines such as loratadine can ease allergy-related itching and are sometimes used to treat hives. However, antihistamines may not help itching caused by lupus itself.
To help avoid drug interactions, tell your healthcare provider about any other over-the-counter medications or supplements you take. If you think allergies may be causing your itching but don’t know your triggers, consider seeing an allergist.
Prescription treatments, including topical corticosteroids, may help reduce inflammation and itching from lupus-related skin problems.
“I get rashes on my chest and legs, and they burn and itch horribly. I received a cream called clobetasol propionate 0.05 percent,” shared a MyLupusTeam member. “It works very well.”
Some members report relief with injections such as omalizumab, which is approved by the U.S. Food and Drug Administration (FDA) for conditions including chronic hives and certain cases of allergic asthma. It’s not approved specifically for lupus rash or itching.
Talk with your doctor or dermatologist about what’s causing your itching and which prescription treatment may be right for you.
Itchy skin rashes may occur during a lupus flare. “Oh boy! I live with these symptoms in spades. I get hivelike rashes that come and go with itching after severe flare-ups,” a MyLupusTeam member said.
The right treatment plan can help you manage lupus and its effects on your skin. Treatment options may include antimalarials, immunosuppressants, biologic therapies, and corticosteroids. Treatment recommendations generally aim to minimize long-term corticosteroid use.
Hydroxychloroquine (Plaquenil) is a cornerstone of lupus treatment, but it can cause itching in some people. If itching starts after you begin a new medication, let your lupus care team know so you can work together to identify the cause. Never stop taking the medication without first talking with your healthcare provider.
When shopping for lotions, cleansers, and sunscreens, checking labels can help you avoid common skin irritants:
To see how your skin reacts to a new product, apply it to the same small spot of skin twice a day for seven to 10 days. If your skin doesn’t become discolored, itchy, or swollen, you can try using the product as directed. Your dermatologist can also recommend products based on your skin type and lupus symptoms.
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I don’t think my rheumatologist know about this. I have been experiencing itchy on my back for months. I’ve talked to my rheumatologist and my primary care doctor. They checked my back and didn’t see… read more
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