Elbow issues
Hello doctor, a few days ago I noticed some raised bumps on my elbow that feel itchy but are not red.
I scratched and rubbed them, and yesterday the skin broke a little but it seems to have scabbed over.
Now it looks a bit red in that area, but I don’t feel any open wounds.
I would like to ask if this could be some kind of autoimmune disease or HIV? Just a few days ago, I heard a friend at school talking about rashes, and I’m not sure if this qualifies as a rash.
Should I just go see a dermatologist after class tomorrow? I’ve been a bit worried and can’t sleep, so I wanted to ask for your advice.
Thank you.
Lin, 10~19 year old female. Ask Date: 2023/11/08
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question.
Just by looking at the pictures, it is difficult to determine; it resembles common eczema or contact dermatitis.
I recommend seeing a dermatologist first.
We do not solely rely on the rash to diagnose autoimmune diseases or HIV, so please do not worry too much.
The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, cares about you.
Reply Date: 2023/11/08
More Info
When it comes to elbow issues, particularly those involving unusual bumps, redness, and itching, it's essential to consider a variety of potential causes before jumping to conclusions about serious conditions like autoimmune diseases or HIV. Based on your description, it sounds like you may be experiencing a skin condition rather than a systemic illness.
The bumps you feel on your elbow could be due to several benign skin conditions. One possibility is a form of dermatitis, which can occur due to irritation, allergic reactions, or even friction from clothing. Another common cause could be folliculitis, which is the inflammation of hair follicles that can lead to small, red bumps that may itch. If the area has become red and slightly crusty, it could also indicate a secondary infection, especially if you have been scratching the area.
While it’s understandable to be concerned about more severe conditions like autoimmune diseases or HIV, these typically present with a broader range of symptoms and would not usually manifest solely as isolated bumps on the elbow. Autoimmune diseases often involve systemic symptoms such as fatigue, joint pain, and other systemic manifestations, while HIV would typically present with more generalized symptoms, including flu-like symptoms, swollen lymph nodes, and more.
Given that you have noticed changes in your skin, including redness and the formation of scabs, it is advisable to consult a dermatologist. They can provide a thorough examination and determine whether your symptoms are due to a skin condition, an allergic reaction, or something else entirely. It’s also important to avoid scratching the area, as this can lead to further irritation or infection.
In terms of when to see a doctor, you should seek medical advice if:
1. The symptoms worsen or do not improve within a few days.
2. You develop additional symptoms such as fever, increased pain, or swelling.
3. The area becomes increasingly red, warm, or produces pus, which could indicate an infection.
In the meantime, try to keep the area clean and avoid any known irritants. Over-the-counter antihistamines may help alleviate itching if it is bothersome. However, it’s crucial to get a professional opinion to rule out any serious conditions and to receive appropriate treatment.
In summary, while your concerns are valid, the symptoms you describe are more likely related to a localized skin issue rather than a systemic disease. A visit to the dermatologist is the best course of action to get a proper diagnosis and treatment plan. Remember, it’s always better to err on the side of caution when it comes to health concerns, so don’t hesitate to seek professional help.
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