Persistent White Bumps on Skin: Causes and Treatments

Acne issues

I'm not sure if this counts as acne.
I usually don't have a tendency to break out, just 1 or 2 pimples before my period that clear up quickly.
However, recently I've been noticing many small, slightly raised white spots on my face.
When squeezed, they release a small amount of white, watery substance that resembles pus.
After squeezing one, the area around it becomes a bit red, and then new spots appear the next day (either in different areas or the same spot).
This has been ongoing for about three to four weeks.
Initially, the spots appeared near my nostrils and cheeks, but recently I've also noticed some under my eyes and on my forehead.
What could this condition be? Is it an allergy? I have experienced something similar before, but it resolved after I stopped using the makeup products I had started using at that time for a couple of days.
However, this time it doesn't seem to be effective.
Is there any topical medication I can apply? I have some acne gels and other creams prescribed by a dermatologist at home.
Can I continue using my skincare and makeup products? If so, are there any precautions I should take (sometimes I need to wear makeup for work)? Thank you, doctor, for your assistance.

123, 10~19 year old female. Ask Date: 2018/11/06

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to address it appropriately.

Reply Date: 2018/11/06

More Info

Persistent white bumps on the skin can be concerning, especially when they appear in clusters and seem to have a pus-like consistency. Based on your description, it sounds like you may be experiencing a form of acne, possibly pustular acne, which is characterized by white or red bumps filled with pus. This condition can be exacerbated by hormonal changes, stress, or the use of certain skincare products.

Causes of Persistent White Bumps
1. Hormonal Fluctuations: As you mentioned, you typically experience breakouts before your menstrual cycle. Hormonal changes can lead to increased oil production in the skin, which can clog pores and result in acne.

2. Clogged Pores: The white bumps you describe could be caused by clogged hair follicles. When dead skin cells, oil, and bacteria accumulate in the pores, they can form whiteheads or pustules.

3. Skin Care Products: If you've recently changed your skincare or makeup products, it’s possible that some ingredients may be irritating your skin or clogging your pores. This is particularly true for products that are comedogenic (pore-clogging).

4. Allergic Reactions: If you have a history of similar skin issues that resolved after discontinuing certain products, it’s possible that you may be experiencing an allergic reaction or sensitivity to a new product.

5. Bacterial Infection: Sometimes, bacteria can infect clogged pores, leading to pustular acne. This can result in red, inflamed bumps that may be painful.

Treatment Options
1. Topical Treatments: Over-the-counter treatments containing benzoyl peroxide or salicylic acid can be effective in treating acne. These ingredients help to reduce inflammation, unclog pores, and kill bacteria. If you have previously been prescribed topical medications by a dermatologist, it may be worth trying those again.

2. Avoid Picking: It’s important to avoid squeezing or picking at the bumps, as this can lead to further irritation, scarring, and potential infection.

3. Gentle Skin Care Routine: Use a gentle cleanser and avoid harsh scrubs or exfoliants that can irritate the skin. Look for non-comedogenic products to minimize the risk of clogging your pores.

4. Consult a Dermatologist: Since your condition has persisted for several weeks, it would be wise to consult a dermatologist. They can provide a proper diagnosis and may prescribe stronger topical or oral medications if necessary.

5. Makeup Considerations: If you need to wear makeup for work, opt for non-comedogenic and hypoallergenic products. Be sure to remove your makeup thoroughly at the end of the day to prevent further clogging of your pores.

Lifestyle and Preventive Measures
1. Diet and Hydration: Maintaining a balanced diet and staying hydrated can positively affect your skin health. Some individuals find that reducing dairy or sugar intake can help with acne.

2. Stress Management: Since stress can exacerbate acne, consider incorporating stress-reducing activities such as yoga, meditation, or regular exercise into your routine.

3. Sun Protection: If you are using acne treatments, your skin may be more sensitive to the sun. Always apply a broad-spectrum sunscreen to protect your skin.

4. Regular Skin Care Routine: Establishing a consistent skincare routine can help manage and prevent future breakouts. This includes cleansing, moisturizing, and using targeted treatments as needed.

In summary, while it’s possible that your persistent white bumps are related to hormonal changes or product sensitivities, a thorough evaluation by a dermatologist is essential for an accurate diagnosis and effective treatment plan. Avoiding irritants, maintaining a gentle skincare routine, and considering lifestyle changes can also contribute to healthier skin.

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