Skin issues
Hello doctor, I have had small, pimple-like bumps on my calves since I was young.
They look a bit like spots and are dark in color.
My entire leg still hasn't improved.
What could be the problem? How should I treat it? Is it okay for me to swim? I'm not very keen on swimming...
Thank you, doctor.
Guai Guai, 10~19 year old female. Ask Date: 2006/02/17
Dr. Huang Ruiyun reply Dermatology
I apologize, but although the online clinic is called "e-clinic," it is not a place for consultations.
The main reason is that without seeing the actual patient, misdiagnosis is likely.
Its purpose is to provide supplementary explanations regarding any unclear aspects of the diagnosis made by your physician after an in-person visit, as well as medication and treatment consultations, second opinions, etc.
It is not a place to seek a diagnosis.
If you are truly troubled, please visit a dermatologist in person.
Reply Date: 2006/02/17
More Info
When it comes to skin issues, particularly those that manifest as bumps or lesions on the legs, there are several potential causes that could explain your symptoms. Based on your description of having small, blackish bumps on your calves that resemble acne or spots, it is important to consider a few common dermatological conditions.
One possibility is keratosis pilaris, a benign condition characterized by small, rough bumps on the skin, often described as "chicken skin." This condition occurs due to the buildup of keratin, a protein that protects the skin, which can block hair follicles. It is most commonly found on the outer sides of the upper arms, thighs, cheeks, and buttocks, but can also appear on the calves. Keratosis pilaris is generally harmless and does not require treatment, although some individuals may choose to use exfoliating creams or moisturizers to improve the appearance of their skin.
Another potential cause could be folliculitis, which is the inflammation of hair follicles. This can occur due to bacterial or fungal infections, irritation from shaving, or friction from clothing. Folliculitis can present as small, red, or white bumps that may resemble acne. If the bumps are itchy or painful, it may be worth consulting a dermatologist for appropriate treatment, which could include topical antibiotics or antifungal medications.
If the bumps are dark and persistent, it could also be a form of hyperpigmentation or post-inflammatory hyperpigmentation, which occurs after an injury to the skin, such as acne or other forms of dermatitis. This condition is not harmful but can be treated with topical treatments that contain ingredients like hydroquinone, retinoids, or vitamin C to help lighten the dark spots.
Regarding your question about swimming, it is generally safe to swim if you have keratosis pilaris or folliculitis, provided that the skin is not broken or infected. Swimming can even be beneficial, as the chlorine in pool water may help to dry out any minor skin irritations. However, if you have open wounds or significant irritation, it is advisable to avoid swimming until the skin has healed to prevent further irritation or infection.
In terms of treatment, if the bumps are bothersome or if you notice any changes in their appearance, it would be wise to consult a dermatologist. They can provide a proper diagnosis and recommend treatments tailored to your specific condition. Treatments may include topical retinoids, exfoliating agents, or even laser therapy for more stubborn cases.
In summary, while the bumps on your legs may be due to common and benign conditions like keratosis pilaris or folliculitis, it is essential to monitor their appearance and any associated symptoms. If you have concerns about their persistence or if they cause discomfort, seeking professional medical advice is the best course of action. Remember, maintaining good skin hygiene, moisturizing regularly, and avoiding tight clothing can also help manage and improve the condition of your skin.
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