Hello! Made a reddit account just for this post! I’ve had a weird skin condition for about 2 years now— it keeps getting re-diagnosed, and the diagnoses fail to address both of my concerns: discoloration and extreme itchiness.

Background information, I already have eczema/atopic dermatitis and allergies to most things with fragrance, so I don’t think this is that. 

In the fall of 2023, I started developing white circular spots on my arms and chest. They had a dry, paper-like texture and were very itchy. I’ve always been itchy due to environment and eczema and all that, but this is VERY itchy. The dermatologist called it **nummular eczema** and treated it with **tacrolimus** and **clobetasol**. Clobetasol reduced the appearance initially, but they kept coming back. Spots sometimes became dark red/brown, red, or completely white. I later developed an allergy to tacrolimus. 

Spring of 2024, things started to become blotchy and more widespread, appearing on my arms, thighs, and all over my chest, armpits, and shoulders. Very itchy!! I also am more tan in the spring/summer, so the whiteness became more obvious. They called it **pityriasis alba** at this point in time.

Pretty much fall 2024 until spring 2025 it just kept spreading across my chest, stomach, and legs. And they got more blotchy, especially on my thighs. My stomach/pelvis is has darker red patches whereas my shoulders, arms, and legs are more white. Fewer circular spots but still there. SOOOO itchy I pretty much claw myself to sleep every night. Got biopsies done on my thigh and upper ribcage— just resulted in some form of atopic dermatitis (which I already have). Started **opzelura** ointment, which didn’t help and then **rinvoq** pill for 2 months, also didn’t help. 

It just keeps getting worse and worse— my legs are completely covered, stomach and pelvic area, upper arms, shoulders, chest. The texture is weird, and I am so itchy it’s unbelievable. The spots and patches are everywhere except my face, feet, back, and butt. I’m always uncomfortable, but the itching is particularly awful when working out, after swimming, at night, and after being outside in the sun. I recently read about tinea versicolor, and I got my doctor to prescribe me **ketoconazole** cream, so I started that 3 days ago. I’ll start **fluconazole** soon if the cream doesn’t help.

I’ve attached images of the progression of my legs, some photos of my chest, arms, and stomach, as well as a closer pic of my leg. Any ideas or thoughts would be helpful— my dermatologists seem to only focus on the pigment loss rather than the insane itching. I’m genuinely losing my mind over this, please help! If you’ve experienced the same combo of symptoms or have seen this before, I would hugely appreciate it.

2 Year Mystery Skin Condition - Pigment Loss and Extreme Itchiness