Skin Issues: Red Bumps That Won't Heal - Dermatology

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When dealing with persistent skin issues such as red bumps that won't heal, it's essential to consider several potential causes and treatment options. Based on your description, it sounds like you are experiencing a form of dermatitis or possibly an allergic reaction, which can manifest as red, itchy bumps that may crust over and fail to heal properly.

Possible Causes
1. Contact Dermatitis: This condition occurs when the skin reacts to a substance it has come into contact with, such as soaps, lotions, or even certain fabrics. The red bumps can be itchy and may become crusty if scratched.

2. Eczema: Also known as atopic dermatitis, eczema is a chronic condition that leads to inflamed, itchy skin. It often appears as red, dry patches that can become scaly or crusty.

3. Psoriasis: This is an autoimmune condition that results in the rapid growth of skin cells, leading to thick, red patches covered with silvery scales. While it typically appears on the elbows, knees, and scalp, it can occur anywhere on the body.

4. Folliculitis: This is an inflammation of the hair follicles that can cause red bumps, often resembling acne. It can be caused by bacteria, fungi, or irritation from shaving.

5. Allergic Reactions: Allergies to food, medications, or environmental factors can cause hives or red bumps that may itch and become inflamed.

6. Infections: Bacterial or fungal infections can also lead to red, inflamed bumps that may ooze or crust over.


Treatment Options
1. Topical Corticosteroids: These can help reduce inflammation and itching. However, they should be used under the guidance of a healthcare provider, especially for prolonged periods.

2. Moisturizers: Keeping the skin hydrated can help manage conditions like eczema and dermatitis. Look for fragrance-free and hypoallergenic products.

3. Antihistamines: If the bumps are due to an allergic reaction, over-the-counter antihistamines can help alleviate itching and reduce redness.

4. Avoid Irritants: Identify and avoid any products or substances that may be triggering your skin reaction. This includes soaps, lotions, and even certain fabrics.

5. Antibiotics or Antifungals: If a bacterial or fungal infection is suspected, your doctor may prescribe topical or oral medications to treat the infection.

6. Patch Testing: If you suspect an allergy, a dermatologist may recommend patch testing to identify specific allergens.


When to See a Doctor
If your symptoms persist despite home treatment, worsen, or are accompanied by other symptoms such as fever, swelling, or pain, it is crucial to consult a healthcare professional. A dermatologist can provide a thorough examination, possibly perform a biopsy, and recommend a tailored treatment plan based on the specific diagnosis.


Conclusion
Persistent red bumps that do not heal can be frustrating and concerning. Understanding the potential causes and treatment options is essential for managing your skin condition effectively. Remember that self-diagnosis can lead to inappropriate treatments, so seeking professional advice is always the best course of action. Keeping a record of your symptoms, any products used, and potential triggers can also be helpful when discussing your condition with a healthcare provider.