To determine the cause of the itching, one should consider a history of the same symptoms. A dietary assessment is also required to determine if the skin reaction is due to an allergy. Certain drugs also cause allergic reactions. Lab tests may also be mandatory to establish if it is a microbial infection. Since the available information does not point to a specific condition, the patient should be treated for superficial infection and referred for further tests. A follow-up is necessary to assess the course of treatment (Wilson et al., 2013).
Mr. AK has several chronic conditions that he is aware of and is receiving treatment. However, his recent loss of appetite and subsequent weight loss in the past few weeks is unexplained and could be as a result of several factors. His medical examination does not provide concrete evidence of the underlying cause. His dietary history points to certain factors that could have contributed to his current condition. AK takes wine every night before going to bed, which might be the main cause of his appetite loss.
Alcohol has been shown to cause sleep disturbance (Ebrahim et al., 2013). It may reduce the time to fall asleep but prevents one from having a peaceful sleep. Also, alcohol reduces the appetite, and this can lead to unwanted weight loss. In the case of AK, the alcohol intake might be the main cause of his loss of appetite, weight loss, and daytime somnolence. As a treatment measure, he should be advised to avoid taking alcohol before going to bed and a follow up done to ensure he is complying.
Facial itch can be caused by several factors. These include microbial infection, allergic reactions, skin diseases and facial hygiene among others. Chronic facial itch is usually as a result of dysfunction of itch sensing neurons that send false signals of pruritogenic stimuli to the brain (Oaklander, 2012). This condition is known as neuropathic itch, and usually does not involve direct ...
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