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Bruising around the breasts with flaking - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1934 Questions
User :   Hi I have had some bruising around my breast for 2 years, in the last 6 months they are growing rapidly. When they first started i thought it was bruising from the bra and may the underwire in the bra.but they started to appear at intravals of 6-8 months. then the frequency started to increase to couple of months, then weekly and then every couple of days. I first get a acidic burning sensation,and then by the end of the day the area is red, then it turns the colour of a bruise dark reddish brown.
Then it progressse to the next day into a patch with dry skin, to be followed by flaking of skin then it looks like a dry bruise or sometimes just a dark skin patch. It doesnt itch, I did a blood test with my gp and the test are all clear. He treated me for fungal skin but i didn't respond to the medication at all. It continued. Now the spontenous bruising has grown the patches are larger from pea size to the size of a thumb impression. They hurt like a bruise as well. To describe the pain I would say just like when you walk into something and you get a bruise and pain.
What is this? I have taken paracetamol today every four hours to reduce the pain but it hasnt reduced.The spots have moved from the breast and underarms to the belly and now to the buttocks. Never the less one continues to appear near the under arm or breast.
What is the spontaneous bruising? xxxx - age 36 - ethnic origin Indian
Doctor :   Hi
Doctor :   Let me read the query.
Doctor :   Do you have itching, swelling over the areas affected?
User :   no itching or swelling
User :   its flat not raised
User :   appear like a discolouration
Doctor :   Are they whitish flake like lesions or they redding in appearance?
User :   the flaking is like dry skin
Doctor :   Ok
User :   the reddening is like when you first bruise and is pinkish skin
Doctor :   Do you mean it initially starts are an reddish bruise like area which later turns to dry flaking like lesions?
User :   thats right , it progresses . everyday it will have a new appearance
Doctor :   Ok
User :   first acidic burning sensation no appreance
User :   then a redish patch
Doctor :   And the pain that you describe, is it present every day or only on specific occasions?
User :   then flaking - like dry skin
User :   the pain is from once the patch appears to until it flakes
User :   so lets say 2 days
User :   again just like a bruise
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes/hypertension/thyroid problems/
Doctor :   Have you seen a dermatologist?
User :   after the flaking is over the following day it turns into a dark patch only twice has it had dead dry dark skin like on a healing wound
User :   i have immense stress
User :   i had bilateral repeatative strain ingjury in my wrist 1 and a half yr ago
User :   on the NHS i have to wait for 4 days before i see a dermitologist - am waitin
Doctor :   Ok
Doctor :   Let me brief you.
User :   thyroid seems okay
User :   ok
Doctor :   Since i am unable to visualise these lesion, I cannot specify the exact cause for these lesions.
User :   no diabetes in family
Doctor :   However based on what you describe they look like an ezcematous eruptions.
User :   i have documented the progress - taken pictures
User :   what is that
Doctor :   The cause for it may an infective etiology or an allergic cause.
User :   these are new terms to me
Doctor :   Ezcema are the local skin changes that occur following an inflammation.
User :   how and what causes the manifestation
User :   these patches are spontaneous
Doctor :   They initially start like a erthematous(red) lesion, and the further progress depend on the nature of the cause.
User :   what should i do?
Doctor :   There are many factors out of which the commonest are infections and allergic causes.
Doctor :   If the pain or the burning sensation is severe, you can try calamine lotion applications,
User :   okay
Doctor :   avoid scratching the lesions.
User :   i dont feel itchy at all
User :   i never touch them
User :   just wash
Doctor :   That is fine.
User :   what kind of allergy would it be from
User :   food, medication
Doctor :   The further treatment of this depends on the cause for it.
User :   climate ... i cant guess
Doctor :   Hence you need to consult the dermatologist for evaluation of the cause of these lesions.
Doctor :   Have you followed what i have suggested?
User :   you certainly have given me more information then my gp
Doctor :   Do you have any other query?
User :   will these leave marks
Doctor :   Depigmentation marks can be present for a few days.
Doctor :   But over a period of time they will fade away?
User :   is there a cure for this
User :   they last for over a year for sure
Doctor :   The answer for the last question can be done after a physical examination.
User :   Right
Doctor :   As some treatment can take time and some can be treated easily.
User :   I shall wait and see. I am ever so obliged to you.
Doctor :   Do you have any other query?
User :   Thanks alot
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Please refer about our service to your friends.
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