What causes an itchy painful rash on ankles, thighs, hands and elbows?
Patient: My Wife has Mottled a Rash appeared on her angles then overnight moved all the way up to her thighs, back of her Elbows also on her hands with slight swelling in the Wrist, Hand and Fingers. Rash was itchy at first now Pain also, walking with slight difficulty Doctor: Hi,  As per your query you have symptoms of itchy painful rash on ankles, thighs, hands and elbows which occur because of allergic reaction and could be due to the outbreak of viral infection.   Need not to worry. I would suggest you maintain complete hygiene and apply a cream containing azelaic acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melalite XL cream which is a combination of hydroquinone, tretinoin and steroid.   Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Harry Maheshwari, Dentist