Unexplained Itching on Neck: Possible Skin Issues Explained - Dermatology

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There are no obvious external symptoms on the neck, but it still feels uncomfortable?


Hello doctor, I have itching that extends from my neck to my chest without any obvious external symptoms (such as rashes, redness, or heat).
The itching has persisted for at least over a week.
There is a mole in the center of my neck, and the itching started around the mole and gradually spread.
Previously, I would consistently develop hormonal acne on my chin every month, and each time I had a breakout, the lymph nodes in my chin (under the double chin area) would become inflamed and swollen (forming a lump).
In previous visits to a surgeon and a dermatologist, they both said it felt smooth to the touch and would resolve in 1 to 2 months.
Could these issues be related?

Min, 20~29 year old female. Ask Date: 2018/02/12

Dr. Wu Yuxin reply Dermatology


It's uncertain; we need to see to know.

Reply Date: 2018/02/12

More Info


Unexplained itching, especially in sensitive areas like the neck and chest, can be quite distressing. Given your description, it seems that you are experiencing persistent itching without any visible skin lesions such as rashes, redness, or heat. This can be indicative of several underlying issues, and it’s important to consider various factors that could contribute to your symptoms.

Firstly, the itchiness you are experiencing could be a result of dry skin, especially if you are in a colder and drier climate, as mentioned in your previous experiences. Dry skin, or xerosis, can lead to itching and discomfort, even in the absence of visible symptoms. In such cases, regular application of a good quality moisturizer can help alleviate the dryness and, consequently, the itching. It’s advisable to use thicker creams or ointments rather than lotions, as they tend to provide better hydration and barrier protection.

Another possibility is that the itching could be related to contact dermatitis, which is an allergic reaction to substances that come into contact with the skin. This could include soaps, detergents, or even fabrics. If you have recently changed any products you use on your skin or laundry, consider reverting to your previous products to see if that alleviates the symptoms.

The presence of a mole (nevus) in the area where the itching begins could also be a factor. While most moles are benign, any changes in sensation, color, or appearance should be evaluated by a dermatologist. It’s important to monitor the mole for any changes, as this could indicate a need for further investigation.

Additionally, your history of hormonal fluctuations, particularly with the mention of hormonal acne, could suggest that your skin is reacting to hormonal changes. Hormonal imbalances can lead to various skin issues, including dryness, acne, and even increased sensitivity. If you suspect that your hormonal levels might be affecting your skin, it would be beneficial to discuss this with your healthcare provider, who may recommend further testing or adjustments to your current treatment plan.

The lymph node swelling you mentioned in relation to your hormonal acne could also be significant. Lymph nodes can become reactive due to various reasons, including infections or inflammatory processes. If the swelling persists or is accompanied by other symptoms such as fever or significant discomfort, it would be prudent to seek medical attention to rule out any underlying conditions.

In summary, the unexplained itching on your neck could be attributed to several factors, including dry skin, contact dermatitis, hormonal changes, or even reactions related to the mole. Here are some steps you can take:
1. Moisturize Regularly: Use a thick moisturizer to combat dryness, especially after bathing.

2. Identify Irritants: Review any new products you have introduced to your skincare or laundry routine.

3. Monitor the Mole: Keep an eye on the mole for any changes and consult a dermatologist if you notice anything unusual.

4. Consult a Healthcare Provider: If the itching persists or worsens, or if you have concerns about your lymph nodes, seek medical advice for a thorough evaluation.

It’s essential to approach this issue holistically, considering both your skin health and any potential underlying systemic factors. Your comfort and peace of mind are paramount, so don’t hesitate to seek further medical advice if needed.

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