Fibromas: Causes of Sudden Painful Acne on Chest

Sudden onset of acne without any apparent reason?

The skin on my chest suddenly develops large and painful pimples without any apparent reason, which is very bothersome, and this is not the first time it has happened...
What is a fibroma?

Du Di, 10~19 year old female. Ask Date: 2002/08/15

Dr. Liao Wenyu reply Dermatology

Acne can occur not only on the face but also on the body, particularly on the chest and back, which is a quite common phenomenon.
If you experience significant pain, you should seek treatment to alleviate discomfort.
A fibroma, as the name suggests, is a tumor caused by the proliferation of fibrous tissue, primarily collagen fibers.

Reply Date: 2002/08/15

More Info

Fibromas, also known as fibromas or dermatofibromas, are benign tumors that arise from the connective tissue in the skin. They are typically firm, raised nodules that can vary in size and are often brownish in color. While they are generally harmless and do not require treatment, they can sometimes cause discomfort or pain, especially if they are located in areas that experience friction or pressure.

The sudden appearance of painful acne-like lesions on the chest could be attributed to several factors, including but not limited to:
1. Inflammatory Conditions: Conditions such as folliculitis, which is the inflammation of hair follicles, can lead to painful, red bumps that resemble acne. This can occur due to bacterial infections, irritation from shaving, or blockage of hair follicles.

2. Cysts: Sebaceous cysts, which are non-cancerous lumps beneath the skin, can become inflamed or infected, leading to pain and swelling. These cysts are often filled with a thick, yellowish substance and can be mistaken for acne.

3. Allergic Reactions: Allergies to certain skincare products, detergents, or fabrics can cause localized skin reactions, resulting in painful bumps or rashes.

4. Hormonal Changes: Fluctuations in hormone levels, particularly during puberty, menstruation, or pregnancy, can lead to increased oil production and clogged pores, resulting in acne.

5. Fibromas: As mentioned earlier, fibromas can appear on the skin and may become painful if they are irritated or if they grow in size. While they are generally painless, some individuals may experience discomfort.

If you are experiencing recurrent painful lesions on your chest, it is essential to consult a dermatologist for a proper evaluation. The dermatologist can perform a physical examination and may recommend a biopsy if there is any uncertainty regarding the diagnosis. Treatment options may vary based on the underlying cause of the lesions. For instance:
- Topical Treatments: If the lesions are due to acne or folliculitis, topical antibiotics or retinoids may be prescribed to reduce inflammation and promote healing.

- Surgical Removal: If fibromas or cysts are causing significant discomfort or cosmetic concerns, surgical excision may be recommended.

- Management of Underlying Conditions: If the lesions are related to an underlying inflammatory or allergic condition, addressing the root cause through lifestyle changes or medications may be necessary.

In summary, while fibromas are generally benign and may not require treatment, the sudden appearance of painful lesions on the chest warrants a thorough evaluation by a healthcare professional. Understanding the underlying cause is crucial for effective management and relief from discomfort.

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