Persistent Skin Issues After Beach Exposure: Causes and Solutions

Skin

Hello, my daughter went to the beach with friends at the beginning of August and played in the water for about 2 to 3 hours.
That night after taking a shower, she felt itchy skin and clearly remembers scratching it until it broke the skin.
At that time, we didn't pay much attention to it.
Unexpectedly, now in October, those wounds have not healed.
They have scabbed over but when touched, they break open and bleed a little.
I have applied Mupirocin ointment, but it hasn't improved.
The areas look red and somewhat ulcerated, about the size of a ten-cent coin.
Usually, when people see it, they immediately ask what happened because it looks red and ulcerated, not like a typical abrasion.
Could you please tell me what this might be? Thank you for your response.
Wishing you joy every day, doctor!

Xiao Nan, 10~19 year old female. Ask Date: 2002/10/08

Dr. Jiang Zheen reply Dermatology

Based on your description, your skin condition may be nummular eczema, which is a manifestation of skin sensitivity.
It requires the application of eczema-related medications for improvement.
However, it is best to visit a dermatologist for a proper examination.
May God bless you and grant you peace.

Reply Date: 2002/10/08

More Info

It sounds like you're experiencing a persistent skin issue that has developed after your beach exposure. Based on your description, it seems that you may be dealing with a combination of factors that could include irritation, infection, or even an allergic reaction. Let's break down the potential causes and solutions for your situation.

Possible Causes
1. Irritation from Saltwater and Sun Exposure: Spending several hours in the ocean can lead to skin irritation, especially if your skin is sensitive. Saltwater can dry out the skin, and prolonged sun exposure can cause sunburn, which may exacerbate itching and lead to skin damage.

2. Infection: If the skin was broken due to scratching, there is a risk of bacterial infection. The fact that the area is red, inflamed, and has not healed properly suggests that there could be an underlying infection. This is especially likely if you notice any pus or increased warmth in the area.

3. Allergic Reaction: It's also possible that you may have had an allergic reaction to something in the ocean, such as jellyfish stings, or even to sunscreen or other products you used while at the beach. Allergic reactions can cause prolonged redness, itching, and irritation.

4. Dermatitis: Conditions like contact dermatitis can occur when the skin reacts to irritants or allergens. If you applied any products before or after your beach visit, they could have contributed to your symptoms.

Recommended Solutions
1. Avoid Scratching: It's crucial to avoid scratching the affected areas, as this can worsen the condition and lead to further skin damage or infection.

2. Keep the Area Clean: Gently cleanse the affected areas with mild soap and water. Avoid harsh soaps or scrubs that could irritate the skin further.

3. Moisturize: Use a gentle, fragrance-free moisturizer to keep the skin hydrated. This can help with healing and reduce itching.

4. Topical Treatments: Since you've mentioned using a topical treatment (presumably a steroid cream), it may be beneficial to consult with a dermatologist about the best course of action. They may prescribe a stronger topical steroid or an antibiotic if an infection is suspected.

5. Avoid Irritants: Stay away from any products that may irritate your skin, including harsh soaps, fragrances, and certain fabrics. Opt for loose-fitting, breathable clothing to minimize irritation.

6. Seek Medical Attention: Given that the issue has persisted for several months and is causing you distress, it is advisable to see a dermatologist. They can perform a thorough examination, possibly conduct tests, and provide a tailored treatment plan.

7. Consider Allergy Testing: If an allergic reaction is suspected, your doctor may recommend allergy testing to identify any specific triggers.

Conclusion
Persistent skin issues, especially those that do not respond to initial treatments, warrant professional evaluation. Your symptoms suggest that there may be more than just a simple irritation at play, and a dermatologist can help determine the exact cause and appropriate treatment. Remember, early intervention can prevent complications and promote faster healing. In the meantime, focus on gentle care for your skin and avoid any potential irritants. Wishing you a speedy recovery!

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