Skin Bumps on Chest and Abdomen: Causes and Solutions - Dermatology

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Granules on the chest and abdomen?


Hello Dr.
Wu, I have been struggling with a persistent skin issue for a long time.
I have small, bump-like lesions on my body that resemble sebaceous cysts or comedones, primarily located on my abdomen, chest, and extending to my back (as shown in images 1 and 2).
There are many of them, and they are quite noticeable.
I have consulted a dermatologist who mentioned that this is due to excessive sebum production and that it cannot be treated.
I have tried to squeeze them out, which resulted in a similar oily substance coming out, but it left scars.
Additionally, I have some psoriasis in the same areas, and while applying medication helps, the lesions reappear shortly after stopping the treatment (image 3).
I would like to ask you a few questions, as these issues make me feel very self-conscious and I find my skin quite distressing.
Here are my questions:
1.
Is there a way to make the bumps on my abdomen and chest disappear or become less noticeable?
2.
Is psoriasis a condition that can only be managed with medication and cannot be cured?
3.
Should I consider seeing another dermatologist for these symptoms?
4.
I have purchased a salicylic acid cleanser and a salicylic acid body lotion, which slightly reduce the redness but do not improve the bumps.
Can I continue using these products?
Images 1 and 2 show the bumps on my body: https://myppt.cc/qS7W7 https://myppt.cc/1eUgc.
Image 3 shows the psoriasis: https://myppt.cc/DBW9f.
Thank you, Dr.
Wu.

Zhang, 20~29 year old female. Ask Date: 2024/06/09

Dr. Wu Yuxin reply Dermatology


It is recommended that you see a dermatologist in person for an examination.
Skin tumors need to be assessed visually, and psoriasis is a condition that requires management rather than eradication.
However, treatment options have significantly advanced, and you can discuss them further.

Reply Date: 2024/06/09

More Info


Hello! Thank you for reaching out with your concerns about your skin issues. Based on your description, it seems you are dealing with a couple of different skin conditions, including sebaceous hyperplasia (the small bumps you mentioned) and psoriasis (the dry patches). Let’s address your questions one by one.

1. Can the bumps on the abdomen and chest disappear or become less noticeable?
The bumps you are experiencing, which resemble sebaceous cysts or hyperplasia, are often caused by overactive sebaceous glands that produce excess oil. Unfortunately, these bumps can be persistent and may not completely disappear without medical intervention. Treatments can include topical retinoids, which help to regulate skin cell turnover and may reduce the appearance of these bumps over time. In some cases, dermatologists may recommend procedures like laser therapy or cryotherapy to remove or reduce the size of these lesions. It’s essential to avoid squeezing or picking at them, as this can lead to scarring, which you have already experienced.

2. Is psoriasis a condition that requires continuous medication?
Psoriasis is a chronic autoimmune condition that can be managed but not cured. Treatment typically involves topical medications, phototherapy, and systemic treatments depending on the severity of the condition. While topical treatments can effectively control flare-ups, they often need to be applied regularly to maintain results. If you find that your current treatment isn’t providing lasting relief, it may be worth discussing alternative therapies with your dermatologist. Newer biologic medications have shown promise in treating psoriasis and may offer a more long-term solution.

3. Should I consider seeing another dermatologist for these symptoms?
If you feel that your current dermatologist isn’t addressing your concerns adequately or if you’re not seeing improvement with the prescribed treatments, it’s perfectly reasonable to seek a second opinion. Different dermatologists may have varying approaches to treatment, and finding one who understands your specific concerns and skin type can be beneficial.

4. Is it okay to continue using the salicylic acid products?
Salicylic acid is a beta hydroxy acid that can be effective in treating acne and can help exfoliate the skin, potentially reducing the appearance of bumps. If you find that the products you are using are helping to slightly diminish the redness and are not causing irritation, it’s generally safe to continue using them. However, if you notice increased irritation or if the bumps do not improve, it may be worth discussing with your dermatologist whether to continue or adjust your skincare regimen.

In addition to the treatments mentioned, maintaining a good skincare routine is crucial. This includes gentle cleansing, moisturizing, and protecting your skin from excessive sun exposure. Look for non-comedogenic products that won’t clog your pores.
Lastly, it’s important to remember that skin conditions can be frustrating and may impact self-esteem, but you are not alone in this. Many people experience similar issues, and with the right approach and treatment, you can manage your skin concerns effectively. Don’t hesitate to reach out to a healthcare professional for personalized advice tailored to your specific situation. Take care!

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