Small bumps on the skin of the back of the thigh?
Hello Dr.
Jiang,
In the past week or two, I have noticed some small bumps on the skin on the back of my thigh near the knee.
I immediately checked other areas of my skin, and fortunately, there are no similar symptoms elsewhere.
Since I can't see that area of my skin very well, I asked a friend to take a photo of it.
The link to the photo is: http://img100.imageshack.us/img100/520/jleg0cv.jpg.
Before taking the photo, I had scratched that area, so it appears a bit red overall, but originally only the bumps should have been red.
The affected area does not feel itchy, and the bumps are quite small, but they are concentrated in the same region, which is about the size of a ten-cent coin.
Initially, I suspected it might be acne, but my friend said it doesn't look like that, and there is nothing that can be squeezed out of the small bumps.
I would appreciate your help in determining what these symptoms might be, how to treat them, and how to prevent them from spreading.
Thank you very much.
Xiao Feng, 20~29 year old female. Ask Date: 2005/10/02
Dr. Jiang Zheen reply Dermatology
The photo looks very much like a pustule.
If there is localized tenderness, it could be folliculitis or hidradenitis.
If nothing can be expressed, could you provide a clearer photo? Wishing you peace, Jesus loves you.
Reply Date: 2005/10/02
More Info
The small bumps you've noticed on the back of your thigh near the knee could be caused by a variety of conditions, and it's important to consider several possibilities before arriving at a conclusion. Based on your description, the bumps are small, concentrated in a specific area, and not itchy. Here are some potential causes and treatment options:
Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can result in small red or white bumps that may resemble acne. If the area is tender or painful, this could be a likely cause.
2. Keratosis Pilaris: This is a common skin condition characterized by small, rough bumps, often found on the thighs, upper arms, and cheeks. These bumps are usually not itchy and are caused by a buildup of keratin, a protein in the skin.
3. Milia: These are small, white cysts that can appear on the skin, often around the eyes but can occur elsewhere. They are typically harmless and do not require treatment unless desired for cosmetic reasons.
4. Sebaceous Cysts: These are non-cancerous lumps beneath the skin, often filled with a fatty substance. They can appear anywhere on the body and are usually harmless unless they become infected or inflamed.
5. Allergic Reactions or Contact Dermatitis: If you've come into contact with an irritant or allergen, this could cause localized bumps. However, you mentioned that the area is not itchy, which makes this less likely.
6. Acne: While you initially suspected acne, the fact that the bumps do not express pus or fluid suggests that they may not be typical acne lesions. However, closed comedones (whiteheads) can sometimes appear as small bumps without inflammation.
Treatment Options
- Topical Treatments: If the bumps are due to folliculitis or keratosis pilaris, over-the-counter topical treatments containing salicylic acid or glycolic acid may help exfoliate the skin and reduce the appearance of bumps.
- Antibiotics: If a bacterial infection is suspected, a healthcare provider may prescribe topical or oral antibiotics.
- Moisturizers: For keratosis pilaris, regular use of moisturizers can help soften the bumps and improve the skin's texture.
- Avoiding Irritants: If you suspect an allergic reaction, try to identify and avoid any potential irritants or allergens that may have come into contact with your skin.
- Dermatological Consultation: If the bumps persist, worsen, or if you develop new symptoms, it is advisable to consult a dermatologist. They can provide a definitive diagnosis and recommend appropriate treatments, which may include prescription medications or procedures.
Prevention
To prevent the occurrence or worsening of skin bumps:
- Maintain Good Hygiene: Regularly cleanse the area with a gentle soap to prevent folliculitis.
- Moisturize: Keeping the skin hydrated can help prevent keratosis pilaris.
- Avoid Tight Clothing: Wearing loose-fitting clothes can reduce friction and irritation on the skin.
- Sun Protection: Protecting your skin from sun exposure can help prevent various skin conditions.
In conclusion, while the small bumps on your thigh may not be a cause for immediate concern, monitoring their progression and seeking professional advice if they change or do not improve is essential. A dermatologist can provide a thorough examination and tailored treatment options based on your specific condition.
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