Is It Eczema? Skin Issues on the Chest Area

I'm not sure if it's eczema?

Hello, doctor.
I would like to ask you a question.
Recently, I have developed four or five small bumps around the areola on my right breast.
They look very much like tiny pimples.
I squeezed one of them and was able to extract some material, but that bump did not go away and it itches, so I tend to scratch it.
Besides the itching, there are no other symptoms, and there is no bleeding or inflammation.
I did some research online regarding this issue and found that my symptoms resemble eczema.
I suspect it might be due to some residual detergent from washing my lingerie.
I read that I could use an eczema treatment cream.
Previously, I had seen a dermatologist for eczema on my feet, and the doctor prescribed me two medications: one cream called "Wandakang" and another called "Ainil Cream." The doctor advised me to mix both creams and apply them in the morning and evening.
Given my current situation, I would like to know if it is indeed eczema.
Can I mix these two creams or use one of them on the bumps around my areola? I applied "Wandakang" one day and mixed both creams the next day on the areola.
I have only used the creams for two days, and while the itching has stopped, the bumps are still there.
Are these creams effective? Or could you recommend a different cream for me to use?

Peggy, 20~29 year old female. Ask Date: 2006/06/22

Dr. Huang Ruiyun reply Dermatology

Please stop trying to diagnose and treat yourself online! The misdiagnosis rate with this method is extremely high.
If you are truly troubled, please visit a dermatologist in person.

Reply Date: 2006/06/22

More Info

It sounds like you're experiencing a concerning skin issue on your chest area, specifically around the areola. Based on your description, it seems that you have developed several small bumps that resemble acne or possibly other dermatological conditions. The fact that they are itchy and that you have attempted to extract one of them suggests that there may be an inflammatory component involved.

From your research, you suspect that this could be eczema (or dermatitis), potentially triggered by residual detergent from washing your undergarments. Eczema is indeed characterized by itchy, inflamed skin, and it can manifest in various forms, including contact dermatitis, which occurs when the skin reacts to an irritant or allergen. Given that you have a history of eczema on your feet, it is plausible that you may be experiencing a similar reaction on your chest.

Regarding the use of the medications you mentioned—"Wandacare" (萬達康) and "Ainil Cream" (愛尼乳膏)—it is essential to approach this with caution. These topical treatments are typically used for managing eczema and may contain corticosteroids or other anti-inflammatory agents. While it may seem reasonable to apply these medications to the affected area, you should ideally consult with a dermatologist before doing so, especially since the area around the areola is sensitive and may react differently than other parts of the body.

Mixing medications without professional guidance is not recommended, as it can lead to unforeseen side effects or reduce the efficacy of the treatments. If you have already applied these creams and noticed a reduction in itching, that is a positive sign; however, the persistence of the bumps indicates that the underlying issue may not be fully resolved.

In terms of treatment, here are a few recommendations:
1. Consult a Dermatologist: Since you have already seen a dermatologist for your foot eczema, it would be wise to schedule an appointment to discuss your current symptoms. A professional evaluation can provide a definitive diagnosis and tailored treatment plan.

2. Avoid Irritants: If you suspect that detergent residue is causing your symptoms, consider switching to a hypoallergenic detergent and thoroughly rinsing your clothing. Additionally, avoid wearing tight or synthetic fabrics that may irritate the skin.

3. Maintain Skin Hydration: Keeping the affected area moisturized is crucial. Use a gentle, fragrance-free moisturizer to help soothe the skin and prevent dryness, which can exacerbate eczema.

4. Avoid Scratching: While it may be tempting to scratch the itchy areas, doing so can lead to further irritation and potential infection. If the itching is severe, discuss with your doctor the possibility of using an antihistamine or a topical anti-itch cream.

5. Monitor Changes: Keep an eye on the bumps. If they change in appearance, become more inflamed, or if you develop additional symptoms such as pain or discharge, seek medical attention promptly.

In conclusion, while your symptoms may suggest eczema or a similar condition, a definitive diagnosis can only be made through a professional evaluation. The use of topical treatments should be guided by a healthcare provider to ensure safety and effectiveness. Taking proactive steps to avoid irritants and maintain skin health will also be beneficial in managing your symptoms.

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