It looks like acne but is not acne?
Hello, I recently noticed that there are small bumps near my right armpit that resemble pimples but are not actually pimples.
When I try to squeeze them, they do not ooze pus like regular pimples; instead, a small, whitish substance comes out, and it continues to bleed.
Unlike typical pimples that only bleed a little, this requires several wipes before the bleeding stops.
Interestingly, these bumps only appear in the area near my right armpit and not elsewhere.
Could you please tell me what these might be?
Mr. Zhou, 20~29 year old female. Ask Date: 2012/01/21
Dr. Guo Fengsheng reply Dermatology
Hello: It is recommended to pay attention to skin cleanliness and avoid squeezing.
Maintaining clean skin is the most important.
If you have any questions, you can visit the dermatology outpatient clinic for follow-up treatment.
Changhua Hospital cares about you.
Reply Date: 2012/01/21
More Info
When it comes to skin bumps that resemble acne but do not behave like typical pimples, there are several potential conditions to consider. The symptoms you describe—small bumps that produce a whitish substance and bleed when squeezed—could indicate a few different dermatological issues.
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can appear as small red or white bumps and may be itchy or painful. In some cases, squeezing the bumps can lead to bleeding, especially if the skin is irritated.
2. Keratosis pilaris: This common condition results in small, rough bumps on the skin, often on the upper arms, thighs, and buttocks. While these bumps are usually harmless and do not bleed, they can sometimes become inflamed or irritated, leading to redness and discomfort.
3. Milia: These are small, white cysts that can appear on the skin, often around the eyes and cheeks, but can occur anywhere. They are caused by trapped keratin beneath the skin's surface and are typically harmless. They do not usually bleed when squeezed, but if they are irritated, they might cause some bleeding.
4. Sebaceous cysts: These are non-cancerous lumps beneath the skin that can occur anywhere on the body. They are filled with a substance called sebum and can become inflamed or infected, leading to redness, swelling, and sometimes bleeding if they are squeezed.
5. Contact dermatitis: If you have recently changed soaps, deodorants, or other products, you might be experiencing an allergic reaction or irritation that manifests as small bumps. This condition can cause the skin to become inflamed and sensitive, leading to bleeding if the area is scratched or squeezed.
Given that these bumps are localized to your right armpit area, it could also be related to friction from clothing or shaving, which can irritate the skin and lead to folliculitis or other localized skin conditions.
Recommendations:
1. Avoid Squeezing: It is important to refrain from squeezing or picking at the bumps, as this can lead to further irritation, infection, and scarring.
2. Keep the Area Clean: Gently cleanse the area with a mild soap and water to reduce the risk of infection. Avoid harsh scrubs or exfoliants that could irritate the skin further.
3. Moisturize: Applying a gentle, non-comedogenic moisturizer can help soothe the skin and prevent dryness, which may exacerbate the condition.
4. Topical Treatments: Over-the-counter treatments containing benzoyl peroxide or salicylic acid may help if the bumps are acne-related. However, if you suspect folliculitis, an antibacterial wash may be more appropriate.
5. Consult a Dermatologist: Since the bumps are persistent and bleeding, it is advisable to consult a dermatologist for a proper diagnosis and treatment plan. They may recommend topical antibiotics, corticosteroids, or other treatments based on the specific condition.
6. Avoid Irritants: If you suspect that a product may be causing irritation, discontinue its use and observe if the condition improves.
In summary, while the bumps you are experiencing may resemble acne, they could be indicative of several different skin conditions. Proper diagnosis and treatment are essential, so seeking professional medical advice is the best course of action.
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