Clear Bumps Underarms: Causes and Treatment Options - Dermatology

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There are droplet-like formations under the armpit?


Is the presence of small, transparent, water-filled bumps under my armpit a sign of dyshidrotic eczema? Is it related to my daily use of antiperspirant? Is using soap for cleaning not thorough enough? I am also planning to undergo laser hair removal for my armpits; will having bumps on the day of the procedure affect it (such as causing burns or pigmentation issues)? Thank you for your response.

Xiao Jin, 30~39 year old female. Ask Date: 2016/05/27

Dr. Wu Yuxin reply Dermatology


Dyshidrotic eczema commonly occurs on the palms and soles.
You should discuss this with your laser specialist.

Reply Date: 2016/05/27

More Info


Clear bumps under the arms can be concerning, and it's important to understand their potential causes and treatment options. The appearance of small, clear, water-filled bumps in the underarm area could indeed be related to a condition known as "sweat vesicles" or "miliaria," which can occur when sweat ducts become blocked. This blockage can lead to the formation of small blisters filled with clear fluid, often exacerbated by heat and humidity.
Using antiperspirants or deodorants may contribute to this condition, especially if the products contain certain chemicals that can irritate the skin or clog the sweat glands. If you are using a heavy or strong antiperspirant daily, it might be worth considering switching to a gentler formula or one that is specifically designed for sensitive skin. Additionally, while soap is essential for cleaning, it is crucial to ensure that you are using a mild, non-irritating soap and rinsing thoroughly to avoid residue that could contribute to skin irritation.

Regarding your concern about laser hair removal, it is generally advisable to avoid any cosmetic procedures if there are active skin conditions present, such as rashes or blisters. Performing laser hair removal on irritated skin can increase the risk of complications, including burns, pigmentation changes, or further irritation. If you have visible bumps or irritation on the day of your scheduled procedure, it would be prudent to consult with your dermatologist or the technician performing the laser treatment. They can assess your skin's condition and determine whether it is safe to proceed or if it would be better to postpone the treatment until your skin has healed.

In terms of treatment options for the clear bumps, if they are indeed sweat vesicles, the best approach is often to keep the area cool and dry. Wearing loose-fitting clothing can help reduce friction and irritation. Over-the-counter hydrocortisone cream may alleviate inflammation and itching if present. However, if the bumps persist or worsen, it is advisable to seek medical attention. A dermatologist can provide a proper diagnosis and recommend appropriate treatments, which may include topical medications or other interventions.

In summary, the clear bumps under your arms could be related to sweat vesicles, potentially exacerbated by the use of antiperspirants. It is essential to maintain good hygiene with gentle products and to consult with a healthcare professional before undergoing any cosmetic procedures if there are active skin issues. Taking these steps can help ensure the health of your skin and the effectiveness of any treatments you pursue.

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