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Red erythematous lesion on thigh - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hello, I have a few questions, one is about a very small black dot on my right leg close to my knee, looks like a freckle but it is very dark and I am unsure if i have ever seen it before.. my other question is about a large reddish hard bump i have on my inner thigh close to my bikini line, it is a little painful and I am unsure about what it is?
Doctor :   Hi
User :   hello
Doctor :   May I know your age?
User :   20
Doctor :   Since when have you noticed the reddish bump?
User :   maybe a week and a half ago
Doctor :   Ok
Doctor :   Is the redness/bump spreading since then?
Doctor :   How big is the bump now?
User :   spreading might have gotten bigger but I havnt been paying attention very closely until now
User :   a little smaller than a dime but it had a round irritated circle around it
User :   has
Doctor :   Do you have itching associated with it?
User :   no
User :   not like a bug bite
User :   and a little dry skin on top
Doctor :   Have you had similar symptoms in the past?
User :   no
Doctor :   Ok
Doctor :   Do you have itching, pain sensation over the black spot?
User :   no nothing with that it doesnt bother me at all
Doctor :   Did it occur spontaneously or did you have a lesion there previously?
Doctor :   Do you see similar spots else where in your body?
User :   im not sure if its been there for a while or not but i just noticed it cause iv been tanning recently and very cautious about chcecking my skin
User :   no other spots just that one
Doctor :   Do you have history of diabetes, thyroid problems in the past?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   The red bump you describe probably is an erythematous condition developed secondary to
Doctor :   friction, allergy or an infection.
Doctor :   The former 2 are more likely than the last one.
Doctor :   Keeping the area free from physical contact, avoiding bare finger handling, and local antiseptic creams such as polysporin creams can be used.
Doctor :   If symptoms persist, you may need steroid creams.
Doctor :   However, I would suggest you to consult a dermatologist if the initial treatment measures do not help in resolving the problem.
User :   how long should I give it?
Doctor :   If redness is expected to improve with the measures and the antiseptic creams in another week or so,
Doctor :   but if your symptoms increase or if they last for more than week from now, you may need to consider consulting the dermatologist.
Doctor :   The second black spot is a non concerning problem though.
Doctor :   It may be an area of hyperpigmentation that may have developed due to previous insult such as an minor injury, skin infection or pimple/boil
Doctor :   Alternatively it can be a nevus ( a mole)
User :   do you think the one on my thigh may be a cyst? someone told me thats what it might be and that I would have to go to the doctor
User :   ok
Doctor :   This doesn't need any treatment, and just monitoring.
Doctor :   Watch over the spot, you will need to see the doctor, if you find the spot increasing in size or develop secondary symptoms such as pain, itching, ulceration over the spot.
Doctor :   Have you followed what I have suggested?
User :   yes thank you
Doctor :   Do you have any other query?
User :   I think thats it for now..thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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