Skin Issues: What’s Growing on Your Neck? - Dermatology

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It sounds like you're experiencing a concerning skin issue on your neck that resembles acne but has some distinct characteristics, such as a foul odor and the presence of white material when squeezed. Based on your description, there are a few potential explanations for what you might be dealing with.

Firstly, the lesions you describe could be sebaceous cysts, which are common and typically harmless. These cysts form when a hair follicle or sebaceous gland becomes blocked, leading to the accumulation of sebum (an oily substance produced by the skin) and dead skin cells. When these cysts become inflamed or infected, they can produce a foul odor and may contain a thick, white substance that resembles pus. The fact that you mentioned the lesions sometimes swell and produce a strong odor when squeezed suggests that they could be infected, which would require medical attention.

Another possibility is that you are dealing with folliculitis, which is the inflammation of hair follicles. This condition can occur due to bacterial or fungal infections, irritation from shaving, or blockage of the follicles. Folliculitis can present as small red bumps or white-headed pimples, and it can also be itchy and painful. If the follicles become infected, they may produce pus and an unpleasant smell.

Given the symptoms you are experiencing—especially the odor and the fact that new lesions are appearing—it is advisable to see a healthcare professional, preferably a dermatologist. They can provide a proper diagnosis and recommend appropriate treatment. Treatment may include topical or oral antibiotics if an infection is present, or other medications to reduce inflammation and prevent further outbreaks.

In the meantime, here are some general tips to manage the condition until you can see a doctor:
1. Avoid Squeezing or Picking: While it may be tempting to squeeze the lesions, this can worsen the inflammation and increase the risk of infection.

2. Keep the Area Clean: Gently cleanse the affected area with a mild soap and water to remove excess oil and debris. Avoid harsh scrubs or exfoliants that could irritate the skin further.

3. Avoid Irritants: If you use hair products, be mindful of any that may come into contact with your neck, as they can cause irritation or clog pores.

4. Wear Loose Clothing: Tight clothing can trap moisture and heat, potentially exacerbating the issue. Opt for breathable fabrics that allow your skin to breathe.

5. Moisturize: If your skin feels dry, use a non-comedogenic moisturizer to help maintain hydration without clogging pores.

6. Monitor for Changes: Keep an eye on the lesions for any changes in size, color, or pain level, and report these to your doctor.

In conclusion, while it may be tempting to self-diagnose based on the symptoms, seeing a healthcare professional is crucial for accurate diagnosis and treatment. Skin issues can often be complex, and a dermatologist will be able to provide the best care tailored to your specific situation. Don't hesitate to seek medical advice, especially since the symptoms are causing you concern.