Is This Skin Condition Normal? Eczema Symptoms and Treatment - Dermatology

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Is this normal?


A few days ago, I was sleeping and felt an itch on my buttocks.
I scratched it and when I got up, I noticed that the area I scratched had swollen into small lumps.
I thought it might just be redness from scratching, so I didn't pay much attention to it.
The next day, I found that the swelling had worsened, so I did some research online.
The situation seemed similar to eczema, so I decided to see a dermatologist.
Coincidentally, my menstrual period started that day, and I felt embarrassed to remove my pants for an examination in front of the doctor.
However, since the rash was on my buttocks, it was difficult for the doctor to see, so I took some photos and showed them to the doctor.
The doctor diagnosed it as eczema and prescribed oral medication along with a topical ointment (MediHoney Cream) for antibacterial and anti-inflammatory treatment.
I have been applying the ointment and taking the medication as directed.
The next day, I noticed that the originally swollen area had turned into small pus-filled bumps, with some dark spots in the center that felt slightly raised.
Is this phenomenon normal, especially since each bump has a small black dot inside?

kiki, 20~29 year old female. Ask Date: 2016/04/18

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it cannot be confirmed.
If it is very concerning, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/04/18

More Info


Eczema, also known as atopic dermatitis, is a common skin condition characterized by inflammation, redness, and itching. It can manifest in various forms, including dry patches, scaling, and in some cases, oozing lesions. Your description of experiencing itching and subsequent swelling with small bumps on your skin aligns with symptoms often associated with eczema. The fact that you noticed these symptoms after scratching suggests that your skin may be reacting to irritation or an allergic response.

When it comes to treatment, topical corticosteroids, such as the ointment you mentioned (美佳健乳膏), are commonly prescribed to reduce inflammation and alleviate itching. These medications work by suppressing the immune response in the skin, which can help to control flare-ups. However, it is essential to use them as directed by your healthcare provider, as overuse can lead to skin thinning and other side effects.

The appearance of small black dots within the bumps you described could be concerning. These could represent several things, including:
1. Folliculitis: An infection of the hair follicles that can occur when bacteria enter through broken skin, leading to small pus-filled bumps.

2. Pustules: These are small, inflamed, pus-filled lesions that can occur in response to irritation or infection.

3. Hyperpigmentation: If you have been scratching, it is possible that the skin has reacted by producing excess melanin, leading to dark spots.

It is crucial to monitor these symptoms closely. If the bumps continue to worsen, become painful, or show signs of infection (such as increased redness, warmth, or discharge), you should seek further evaluation from a dermatologist. They may recommend additional treatments, such as oral antibiotics if an infection is suspected, or a different topical treatment if the current one is not effective.

In terms of prevention, managing eczema often involves a combination of lifestyle changes and skincare routines. Here are some strategies that may help:
1. Moisturize Regularly: Keeping your skin hydrated is vital. Use a thick, fragrance-free moisturizer immediately after bathing to lock in moisture.

2. Avoid Irritants: Identify and avoid triggers that may worsen your eczema, such as certain soaps, detergents, or fabrics.

3. Gentle Cleansing: Use mild, non-soap cleansers and avoid hot water, which can strip the skin of its natural oils.

4. Wear Breathable Fabrics: Opt for loose-fitting clothing made from natural fibers like cotton to reduce irritation.

5. Manage Stress: Stress can exacerbate eczema symptoms, so finding effective stress management techniques can be beneficial.

In conclusion, while your symptoms may be consistent with eczema, the presence of small black dots and the progression of your condition warrant further investigation. It is essential to follow up with your healthcare provider to ensure appropriate management and to rule out any potential complications. Remember, eczema is a chronic condition, and while it can be managed effectively, it may require ongoing attention and care.

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