Skin Bumps: Causes and Treatment Options for Neck and Chest Acne - Dermatology

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Acne


Hello, doctor! I have a question I'd like to ask you: I have developed what looks like acne around my neck and chest.
After squeezing them, I noticed they reappeared a few days later, and now they have started to form small pits.
Every day, a few more seem to come out.
What kind of acne is this? Thankfully, they haven't appeared on my face!
2.
The ones on my neck are a bit different.
They are larger and very white.
My mom, curious about them, used her skills to squeeze them, and a continuous line of white substance came out—quite a lot.
I applied some medication, but after a week, they grew back larger.
What kind of acne is this?
3.
For both types of acne mentioned above, should I just pay attention to my diet and sleep, or should I apply medication, or do I need surgery? Thank you for your help, doctor!

Xiao Lai, 20~29 year old female. Ask Date: 2005/12/28

Dr. Huang Ruiyun reply Dermatology


I'm sorry, but online diagnosis is not possible.
If you are really troubled, it is best to visit a dermatologist in person.

Reply Date: 2005/12/28

More Info


Understanding skin bumps, particularly those resembling acne on the neck and chest, can be a complex issue that often requires careful evaluation and management. Based on your description, it sounds like you may be dealing with a few different types of skin lesions, which could include acne vulgaris, folliculitis, or even sebaceous cysts.
1. Types of Skin Bumps:
- Acne Vulgaris: This is the most common form of acne, typically characterized by pimples, blackheads, and cysts. It can occur on the face, neck, chest, and back. Acne is often caused by hormonal changes, excess oil production, and bacteria.

- Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. It can present as small red bumps or white-headed pimples around hair follicles. Folliculitis can be caused by bacteria, fungi, or irritation from shaving or tight clothing.

- Sebaceous Cysts: These are non-cancerous lumps beneath the skin, often filled with a thick, oily substance. They can appear on the neck and chest and may become inflamed or infected, leading to the discharge of a white or yellowish substance when squeezed.

2. Treatment Options:
- Topical Treatments: Over-the-counter topical treatments containing benzoyl peroxide, salicylic acid, or retinoids can help reduce acne and prevent new breakouts. For folliculitis, antibacterial washes or topical antibiotics may be beneficial.

- Oral Medications: If the condition is severe or persistent, a dermatologist may prescribe oral antibiotics or hormonal treatments (like birth control pills) to help regulate oil production and reduce inflammation.

- Lifestyle Modifications: Maintaining a balanced diet, staying hydrated, and ensuring adequate sleep can positively influence skin health. Avoiding known irritants, such as harsh soaps or tight clothing, can also help.

- Professional Treatments: In some cases, procedures like chemical peels, laser therapy, or drainage of cysts may be necessary. If you notice that the bumps are not responding to topical treatments or are worsening, it’s crucial to consult a dermatologist for a thorough evaluation.

3. When to Seek Help:
- If the bumps are painful, persistent, or accompanied by other symptoms (like fever or significant swelling), it’s essential to seek medical advice. A dermatologist can provide a definitive diagnosis and tailor a treatment plan specific to your needs.

4. Preventive Measures:
- Regularly cleansing the skin with a gentle cleanser can help prevent clogged pores. Additionally, using non-comedogenic products (those that do not clog pores) for skincare and makeup can be beneficial.
In summary, while some skin bumps may resolve with basic skincare and lifestyle changes, others may require more targeted treatments. It’s essential to monitor your skin’s response to any treatment and consult a healthcare professional if you have concerns or if the condition worsens. Remember, early intervention can often lead to better outcomes and prevent complications.

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