Circular Skin Lesions: Infection or Something Else? - Dermatology

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Circular wound


I would like to ask whether this wound is infected or something else? I don't recall having this wound, and I only noticed it while showering.
It seems like there was a scab on top, but the color doesn't look like a typical scab.
The material I removed is white and it itches.

Xiao A, 10~19 year old female. Ask Date: 2019/02/01

Dr. Wu Yuxin reply Dermatology


The Medical Act stipulates that "a physician shall not administer treatment or prescribe medication without personally examining the patient," and therefore, online diagnosis is also not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2019/02/01

More Info


When it comes to circular skin lesions, particularly those that are itchy and have a scab-like appearance, there are several potential causes to consider. Based on your description, it is essential to understand that without a physical examination, it is challenging to provide a definitive diagnosis. However, I can offer some insights into what might be happening and what steps you could take.

Firstly, the presence of a circular lesion that has a scab or crusty appearance, along with itching, could suggest several dermatological conditions. One possibility is a fungal infection, such as tinea corporis, commonly known as ringworm. This condition is characterized by circular, red, and itchy patches that can have a scaly border and may appear to have a clearer center. The "white stuff" you mentioned could be a result of the skin's response to the infection or a buildup of skin cells.

Another possibility is a bacterial infection, especially if there was any trauma to the skin that could have introduced bacteria. Conditions like impetigo can present with crusty lesions and are often itchy. If the area has been scratched, it could exacerbate the infection and lead to further complications.

Additionally, allergic reactions or irritant contact dermatitis could also cause similar symptoms. If you have recently changed soaps, lotions, or other products that come into contact with your skin, this could be a reaction to those substances.
Given the variety of potential causes, it is crucial to avoid self-diagnosing and self-treating. Scratching the area can worsen the condition and lead to secondary infections. Instead, here are some recommendations:
1. Avoid Scratching: As tempting as it may be, scratching can lead to further irritation and potential infection. If the itching is severe, consider using a cold compress or over-the-counter antihistamines to alleviate the itch.

2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh soaps or scrubs that could irritate the skin further.

3. Moisturize: If the skin is dry, applying a gentle, fragrance-free moisturizer can help soothe the area and prevent further irritation.

4. Monitor Symptoms: Keep an eye on the lesion. If it starts to spread, becomes increasingly painful, or shows signs of pus or significant redness, it is essential to seek medical attention.

5. Consult a Dermatologist: Since the lesion has appeared suddenly and you are unsure of its origin, it is advisable to consult a dermatologist. They can provide a proper diagnosis and treatment plan, which may include topical antifungals, antibiotics, or corticosteroids, depending on the underlying cause.

In summary, while circular skin lesions can be indicative of various conditions, the best course of action is to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and promote healing.

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