Sudden Neck Redness and Swelling: Possible Skin Condition Explained - Dermatology

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Inquiry: The neck suddenly became red, swollen, itchy, and painful, followed by crusting?


Hello Doctor: I would like to ask about a sudden onset of redness, swelling, and itching on my neck last night.
There is a large swollen lymph node, and after washing with clean water, I applied a topical anti-inflammatory ointment, but I experienced a burning sensation.
I immediately washed it off with clean water, but even touching the skin is very painful.
This morning, I noticed that the affected area has a dark, bruised color and has wrinkled skin with what looks like several indentations.
Although my neck is no longer swollen or painful, I am currently in Europe and it is inconvenient for me to seek medical attention (I don't think it's due to a change in environment since I've been here for over a year).
I have taken photos (both from yesterday and today) and I am concerned whether this could be a skin condition or related to an internal thyroid nodule (which was benign and small before I left the country).
Could you please respond to my email? If a photo diagnosis is needed, I can send them later.
Thank you.

Miss Wang, 20~29 year old female. Ask Date: 2006/09/06

Dr. Huang Ruiyun reply Dermatology


I'm sorry, but online diagnoses are not permitted.
Even with photos, the misdiagnosis rate remains high.
I apologize for not being able to assist you further.

Reply Date: 2006/09/06

More Info


The sudden onset of redness and swelling in the neck, accompanied by pain and itching, can be concerning and may indicate a variety of skin conditions or other underlying issues. Based on your description, it seems that you experienced an acute inflammatory response in the skin of your neck, which could be attributed to several factors.

One possible explanation for your symptoms is contact dermatitis, which is an inflammatory reaction of the skin that occurs when it comes into contact with an irritant or allergen. This could happen if you applied a new product or came into contact with something that your skin is sensitive to. The burning sensation you experienced after applying the ointment could suggest that the product was irritating your already inflamed skin.
Another possibility is that you may have developed a form of urticaria, commonly known as hives, which can present as raised, itchy welts on the skin. Hives can occur due to various triggers, including allergens, stress, or even certain medications. The fact that you noted a burning sensation and pain upon touching the area could indicate that the skin is very sensitive due to inflammation.

The appearance of dark, scab-like lesions and wrinkling of the skin could suggest that the area is healing from an inflammatory response, but it is essential to monitor these changes closely. If the lesions do not improve or if you notice any new symptoms, such as fever, increased pain, or spreading of the rash, it would be advisable to seek medical attention as soon as possible.

Given that you are currently in Europe and have been there for over a year, it is less likely that your symptoms are due to a simple case of acclimatization. However, environmental factors, such as changes in climate, exposure to different allergens, or even stress from travel, could contribute to skin reactions.

In terms of management, it is crucial to avoid any further irritation to the affected area. You should refrain from using any products that may exacerbate the condition, including the ointment that caused a burning sensation. Instead, consider using a gentle, fragrance-free moisturizer to help soothe the skin. Cold compresses may also provide relief from itching and inflammation.

If your symptoms persist or worsen, it is essential to seek medical advice, even if it requires finding a local healthcare provider. You mentioned having photos of the affected area; these can be very helpful for a healthcare professional to assess the situation accurately. If you are unable to visit a doctor in person, consider telemedicine options, where you can share your photos and receive guidance remotely.

In conclusion, while your symptoms may resolve on their own, it is crucial to monitor the situation closely. If you experience any worsening symptoms or new developments, do not hesitate to seek medical attention. Your health and well-being are paramount, and timely intervention can prevent complications.

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