and Managing Recurrent Skin Cysts: What You Need to Know

Diagnosis of sebaceous cysts?

Hello, doctor.
I would like to ask about the recurrent appearance of larger pimples in various parts of the body that have an unusual odor.
Are these usually sebaceous cysts? Here are the related photos: https://reurl.cc/pVbmZ.
How should similar symptoms be managed? Thank you for your response.

Xiao L, 30~39 year old female. Ask Date: 2019/05/19

Dr. Wu Yuxin reply Dermatology

Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication," and therefore, online diagnosis is not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2019/05/19

More Info

Recurrent skin cysts, often referred to as sebaceous cysts or epidermoid cysts, can indeed present as larger, pimple-like bumps on the skin. These cysts are typically filled with keratin, a protein that is a key component of skin, hair, and nails. They can occur anywhere on the body but are most commonly found on the face, neck, back, and scalp. The presence of an odor may suggest that the cyst has become infected or inflamed, which can complicate the situation.

Sebaceous cysts are generally benign and may not require treatment unless they become painful, infected, or bothersome. If you notice that these cysts are recurrent and have a foul smell, it is essential to consult a dermatologist for a proper evaluation. The dermatologist can confirm whether these are indeed sebaceous cysts or if they are something else, such as an abscess or another type of skin lesion.

Management of recurrent skin cysts typically involves several approaches:
1. Observation: If the cysts are not causing any discomfort or cosmetic concerns, they can often be left alone. Regular monitoring is essential to ensure they do not change in size or appearance.

2. Warm Compresses: Applying warm compresses to the area can help reduce inflammation and promote drainage if the cyst is inflamed. This can provide temporary relief and may help the cyst to resolve on its own.

3. Incision and Drainage: If the cyst becomes infected or is causing significant discomfort, a dermatologist may recommend an incision and drainage procedure. This involves making a small cut in the cyst to allow the contents to drain out. However, this does not remove the cyst wall, and there is a chance that the cyst may recur.

4. Surgical Removal: For recurrent cysts, surgical removal may be the most effective long-term solution. This procedure involves excising the cyst along with its wall to prevent recurrence. It is usually performed under local anesthesia and can be done in an outpatient setting.

5. Antibiotics: If there is evidence of infection, your doctor may prescribe antibiotics to help clear the infection. This is particularly important if the cyst is red, swollen, and painful.

6. Avoiding Irritation: It is crucial to avoid squeezing or picking at the cysts, as this can lead to further irritation, infection, and scarring.

In terms of prevention, while it may not be possible to prevent cysts entirely, maintaining good skin hygiene and avoiding excessive oil and dirt accumulation on the skin can help reduce the likelihood of their formation. Additionally, if you have a family history of skin cysts, you may be more prone to developing them.

In conclusion, recurrent skin cysts can be a nuisance, but with proper management and care, they can be effectively treated. If you are experiencing discomfort or have concerns about the appearance of these cysts, it is advisable to seek professional medical advice. A dermatologist can provide a tailored treatment plan based on your specific condition and needs.

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