Skin Changes Near Armpits: Causes and Concerns - Dermatology

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The lines on the arm near the armpit?


There are two areas near the armpits that have been described by others as resembling stretch marks.
However, they sometimes appear red, other times deep red or purple.
They can also vary in shade, sometimes appearing lighter and sometimes darker, without any observed pattern.
There are instances where one side is lighter while the other is darker.
Please help me investigate what this condition might be.
Thank you.

Xiao Jie, 10~19 year old female. Ask Date: 2015/10/14

Dr. Wu Yuxin reply Dermatology


It is a literal description that may suggest atrophic scars (commonly known as stretch marks), but without actually seeing the lesions, it cannot be confirmed.
It is recommended to have a dermatologist evaluate it for a proper diagnosis.

Reply Date: 2015/10/14

More Info


Understanding skin changes near the armpits can be quite complex, as various factors can contribute to the appearance and characteristics of skin conditions in this area. Based on your description, it sounds like you are experiencing changes that resemble stretch marks (striae), which can appear as red, purple, or lighter streaks on the skin. These changes can be influenced by several factors, including hormonal fluctuations, skin elasticity, and even weight changes.


Possible Causes of Skin Changes Near the Armpits:
1. Stretch Marks (Striae): Stretch marks are common and can occur when the skin is stretched rapidly due to factors such as weight gain, pregnancy, or growth spurts. They often start as red or purple lines and may fade to a lighter color over time. The variability in color you are observing could be due to the age of the stretch marks or changes in your skin's hydration and elasticity.

2. Skin Irritation or Inflammation: The area near the armpits is prone to friction, sweat, and moisture, which can lead to skin irritation or inflammation. Conditions like intertrigo (a rash caused by skin rubbing against skin) can cause redness and discomfort. This could explain the color changes you are observing, as inflammation can lead to variations in skin tone.

3. Hormonal Changes: Hormonal fluctuations, particularly during puberty, pregnancy, or hormonal therapy, can affect skin appearance. Hormones can influence skin elasticity and the production of collagen, leading to changes in how your skin responds to stretching or irritation.

4. Skin Conditions: Certain skin conditions, such as eczema or psoriasis, can also cause changes in skin color and texture. These conditions may present with redness, scaling, or patches that can vary in appearance.

5. Genetic Factors: Some individuals may be genetically predisposed to develop stretch marks or other skin changes. If you have a family history of similar skin conditions, this could be a contributing factor.


Recommendations for Management:
1. Moisturization: Keeping the skin well-hydrated can help improve its elasticity and appearance. Use a good quality moisturizer or oil, particularly after bathing, to lock in moisture.

2. Avoid Irritants: If you notice that certain fabrics or products exacerbate the condition, try to avoid them. Opt for breathable fabrics and avoid tight clothing that may cause friction.

3. Consult a Dermatologist: Since skin conditions can vary widely, it is essential to consult a dermatologist for a proper diagnosis. They can assess your skin changes in person and may recommend treatments such as topical steroids, retinoids, or laser therapy if necessary.

4. Monitor Changes: Keep track of any changes in your skin, including color, texture, and any associated symptoms like itching or pain. This information can be helpful for your healthcare provider.

5. Healthy Lifestyle: Maintaining a healthy diet, staying hydrated, and managing stress can positively impact your skin's health. Regular exercise can also improve circulation and skin appearance.

In conclusion, while the changes you are observing near your armpits may be benign, it is crucial to seek professional advice to rule out any underlying conditions and receive appropriate treatment. Early intervention can often lead to better outcomes and improved skin health.

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