Painful Red Bumps: When to See a Dermatologist

Subcutaneous nodules with redness and swelling?

Hello doctor, two days ago I discovered a hard, swollen lump in my chest.
At first, I didn't think much of it, but since yesterday, I've been experiencing pain when I press on it with my fingers (even light touch causes pain).
Which specialty should I see for this type of issue?

Xiao Chen, 20~29 year old female. Ask Date: 2011/12/22

Dr. Yang Zhiya reply Dermatology

It is recommended to first visit a dermatology outpatient clinic for skin nodules.

Reply Date: 2011/12/22

More Info

When it comes to painful red bumps on the skin, especially in sensitive areas like the chest, it is crucial to approach the situation with caution. Based on your description of a hard, swollen lump that has become painful to the touch, it is advisable to consult a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination to determine the underlying cause of your symptoms.

There are several potential causes for painful red bumps on the skin. One possibility is an infection, such as a folliculitis, which is an inflammation of the hair follicles that can lead to red, painful bumps. Another possibility is a cyst, which can become inflamed and tender. Additionally, conditions like hives or allergic reactions can manifest as red, itchy bumps, although these are typically not hard or painful unless there is significant irritation.

In some cases, the bumps could be related to more serious conditions, such as abscesses or even skin cancers, which can present as red, swollen areas that are painful. Given that you mentioned the bump has become painful over the last couple of days, it is essential to seek medical attention promptly. A dermatologist will be able to assess the bump, possibly perform a biopsy if necessary, and recommend appropriate treatment based on the diagnosis.

When you visit the dermatologist, be prepared to provide detailed information about your symptoms, including when the bump first appeared, any changes in size or color, and any associated symptoms such as fever or drainage. This information will help the dermatologist make an accurate diagnosis.

In the meantime, avoid squeezing or picking at the bump, as this can lead to further irritation or infection. If you experience increased pain, fever, or any other concerning symptoms, seek medical attention immediately.

In summary, given the nature of your symptoms, seeing a dermatologist is the best course of action. They will be able to provide a comprehensive evaluation and guide you toward the appropriate treatment. Remember, early intervention is key in managing skin conditions effectively, so don’t hesitate to seek help.

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