Persistent Forehead Skin Lesions: Causes and Treatment Options - Dermatology

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Persistent skin lesions on the forehead, especially those that have not healed over a period of two months, can be concerning and may indicate a few different underlying issues. The small lesions you describe, which are approximately 0.1 cm in diameter and have not healed, could be due to several factors, including infection, dermatitis, or even a benign skin condition.

One possibility is that these lesions could be a form of dermatitis, such as contact dermatitis or seborrheic dermatitis. Contact dermatitis occurs when the skin reacts to an irritant or allergen, leading to inflammation, redness, and sometimes crusting or oozing. Seborrheic dermatitis, on the other hand, is a common skin condition that can cause scaly patches, red skin, and stubborn dandruff. Both conditions can lead to persistent lesions if not treated properly.

Another possibility is that these lesions could be infected, such as a superficial bacterial infection like impetigo, which is characterized by small, crusty sores that can bleed. If there is any oozing or crusting, it may indicate an infection that requires antibiotic treatment.
Additionally, conditions like folliculitis, which is the inflammation of hair follicles, could also be a cause. Folliculitis can present as small red bumps or pus-filled blisters and can be triggered by bacteria, fungi, or irritation from shaving or other hair removal methods.

Given that the lesions are not healing and are causing bleeding, it is crucial to seek medical attention from a dermatologist. They can perform a thorough examination and may recommend a skin culture to determine if there is an underlying infection. Depending on the diagnosis, treatment options may include topical or oral antibiotics, corticosteroids to reduce inflammation, or antifungal medications if a fungal infection is suspected.

In terms of home care, it is essential to keep the area clean and avoid picking at the lesions, as this can exacerbate the condition and lead to further irritation or infection. Using a gentle, fragrance-free cleanser and applying a non-comedogenic moisturizer can help maintain skin hydration and support the healing process. If you suspect that a specific product or environmental factor may be causing irritation, consider eliminating it from your routine.

To prevent future occurrences, maintaining a consistent skincare routine that includes moisturizing and protecting the skin from irritants is vital. Additionally, if you have a history of skin conditions or allergies, being mindful of potential triggers can help reduce the risk of similar issues arising in the future.

In summary, persistent forehead skin lesions that do not heal can be caused by various factors, including dermatitis, infection, or folliculitis. It is essential to consult a dermatologist for an accurate diagnosis and appropriate treatment. Meanwhile, keeping the area clean and moisturized, avoiding irritants, and not picking at the lesions can help support healing.