Breast Skin Issues: What Do Red Spots Mean?

Breast issues

Doctor, a few weeks ago I noticed a dark red spot on the outer skin of my right chest.
It hurts a little when pressed.
After a few days, it started to peel and became a bit red, with some blood vessels appearing around it.
A few days later, I noticed another similar red spot next to it, which also hurts a little when pressed, but now it doesn't hurt anymore.
However, there is still a red spot with blood vessels and some broken skin, measuring about 0.1 to 0.2 cm in size.
What could this be? Is it serious? Thank you.
🙏

Ling, 10~19 year old female. Ask Date: 2020/10/22

Dr. Yuan Tianmin reply Breast and Thyroid

It sounds more like a cyst that has become infected.
You should seek consultation at a surgical outpatient clinic.

Reply Date: 2020/10/22

More Info

When it comes to breast skin issues, particularly concerning the appearance of red spots or lesions, it is essential to approach the situation with caution and seek professional medical advice. Based on the symptoms you've described—dark red spots, pain upon pressure, peeling skin, and the presence of blood vessels—there are several potential causes to consider.

One possibility is that you may be experiencing a condition known as a sebaceous cyst or a pilar cyst, which can become inflamed or infected. These cysts are generally benign and can appear as raised bumps on the skin. If they become infected, they can cause redness, swelling, and pain. The presence of blood vessels and the change in color could indicate inflammation or irritation in the area.

Another potential cause could be a skin infection, such as folliculitis, which is an infection of the hair follicles. This condition can lead to red, painful bumps that may ooze or crust over. If the infection spreads, it can result in more extensive redness and discomfort.

Additionally, dermatological conditions such as eczema or psoriasis could also manifest in the breast area, leading to red, itchy patches that may peel or flake. These conditions can be exacerbated by factors such as friction from clothing, hormonal changes, or even stress.

Given the symptoms you've described, it is crucial to consult a healthcare provider, preferably a dermatologist or a healthcare professional specializing in breast health. They will be able to perform a physical examination and may recommend further diagnostic tests, such as a biopsy or cultures, to determine the exact nature of the lesions.

In the meantime, here are some general recommendations for managing breast skin issues:
1. Avoid Irritation: Wear loose-fitting clothing to minimize friction against the affected area. Avoid tight bras or clothing that may exacerbate the irritation.

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

3. Moisturize: If the skin appears dry or flaky, applying a gentle, fragrance-free moisturizer may help soothe the area. However, avoid applying any products that could clog pores or worsen the condition.

4. Avoid Picking or Scratching: It can be tempting to pick at or scratch the affected area, but this can lead to further irritation or infection.

5. Monitor Symptoms: Keep track of any changes in the lesions, such as increased redness, swelling, or pain. If symptoms worsen or do not improve, seek medical attention promptly.

6. Consider Allergies or Sensitivities: If you suspect that your symptoms may be related to an allergic reaction (for example, to laundry detergent, fabric softeners, or personal care products), consider eliminating these potential irritants and see if your symptoms improve.

In conclusion, while there are several potential explanations for the symptoms you are experiencing, a definitive diagnosis can only be made by a healthcare professional. It is essential to seek medical attention to ensure proper evaluation and treatment. Early intervention can help prevent complications and provide peace of mind regarding your breast health.

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