Skin Bumps: Causes and Concerns for Your Health - Dermatology

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Skin papules


Hello doctor, I recently developed many papules on my back, and the doctor said it was folliculitis.
It is neither painful nor itchy.
After about a month, I noticed a larger, swollen bump on my back.
When I scratched it, it initially bled, and then I noticed a secretion that resembled oil, which felt sticky.
Now, it has taken on an oval shape.
What could this be? Is it normal? Additionally, I have recently developed many rashes on my elbows that have formed a large circular shape and are very itchy.
The scratched areas turn white after a few days, and both of my hands are affected.
What could this be?

En, 10~19 year old female. Ask Date: 2015/07/25

Dr. Wu Yuxin reply Dermatology


Based on the literal description, it is not possible to confirm the condition without actually seeing the lesion.
It is recommended to have a physician evaluate it for proper assessment.

Reply Date: 2015/07/25

More Info


Understanding skin bumps and rashes can be quite complex, as they can arise from a variety of causes, including infections, allergies, and skin conditions. Based on your description, it seems you are experiencing two distinct issues: folliculitis on your back and a rash on your elbows.

Folliculitis is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can appear as small red or white bumps, and while it may not always be painful or itchy, it can become bothersome. The presence of a larger, swollen bump that you described, which bled when scratched and released a sticky, oily substance, could indicate a more severe form of folliculitis or even an abscess. An abscess is a collection of pus that can form when the body fights off an infection. If the bump is persistent, changing in size, or causing discomfort, it is advisable to consult a healthcare professional for further evaluation and potential treatment.
The fact that you mentioned the bump is now oval-shaped and has a sticky discharge is concerning. This could suggest that the infection is not resolving on its own and may require drainage or antibiotic treatment. It’s important to avoid squeezing or scratching the area, as this can exacerbate the infection and lead to further complications.

Regarding the rash on your elbows, the description of round, itchy patches that turn white after scratching could indicate several conditions, including eczema, psoriasis, or contact dermatitis. Eczema, or atopic dermatitis, is characterized by dry, itchy skin and can appear in patches. Psoriasis, on the other hand, is an autoimmune condition that leads to the rapid growth of skin cells, resulting in thick, red, scaly patches. Contact dermatitis occurs when the skin reacts to a substance it has come into contact with, leading to inflammation and irritation.

Given that you are experiencing significant itching and the rash is widespread, it’s crucial to identify any potential triggers. Consider whether you have changed any soaps, detergents, or skincare products recently, as these can often cause allergic reactions. Additionally, environmental factors such as temperature, humidity, and exposure to irritants can also play a role.

To manage these skin issues, here are some general recommendations:
1. Avoid Scratching: This can worsen the condition and lead to secondary infections. Instead, try to keep the affected areas moisturized and cool.

2. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. For folliculitis, antibacterial ointments may be beneficial if a bacterial infection is suspected.

3. Moisturizers: Use fragrance-free moisturizers to keep the skin hydrated, especially if you have eczema or dry skin.

4. Avoid Irritants: Identify and avoid any products that may be causing irritation. This includes soaps, lotions, and laundry detergents.

5. Consult a Dermatologist: If symptoms persist or worsen, it’s essential to see a dermatologist. They can provide a proper diagnosis and treatment plan tailored to your specific condition.

In summary, while some skin bumps and rashes can be benign, others may require medical attention. Given the complexity of skin conditions and the potential for complications, seeking professional advice is always a prudent choice, especially when symptoms are persistent or concerning.

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