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What is the cause for localised itching on both knees?

Q: I am a 21 years old male. My problem is that I have the problem of itching in my legs below knees and on the knees of both legs. There are no rashes or any visible physical abnormality. Once I consulted a skin doctor; he gave me (Aciderm-G) - this cream works but its not a permanent solution, the itching returns again. Please advise.

A:It is difficult to explain localised itching on both knees and both legs below knees without any visible changes on the skin. Maybe you have very subtle changes on the skin which only a trained eye can discern. If none, then it could be an unusual presentation of metabolic disorder, drug (masked) induced pruritis or psychogenic pruritis.

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