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How Can An Itchy Purple Colored Rash On The Shoulder Blade Be Treated?

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Posted on Mon, 15 May 2017
Question: I have a purple colored rash or broken blood vessels in between my shoulder blades after have several MRI's. Now the area is extremely itchy and flaking. Any clue. I have been diagnosed with spinal stenosis as well as neuropathy.

FYI...started seeing a neuro doctor because my hands and feet are numb and frequently have pain that travels up the legs and arms.
doctor
Answered by Dr. Klarida Papaqako (3 hours later)
Brief Answer:
Possible fungal infection or a contact dermatitis (eczema).

Detailed Answer:

Thank you for using Healthcaremagic to post your health query.
I read carefully your question and I understand your concern.

Since the rash it is itchy and flaking, I don't think it is broken vessels, because it would be normal skin and as you suspect would be more dark.

I think the rash is an eczema from the friction during your sleep (or other causes) or a possible fungal infection (if it is well demarcated from the skin around).

so, my suggestion is to use an antifungal cream for 7-14 days like ketoconazole 2% or Terbinafine 1% twice/day.
If not better or it worse, use a steroid cream- Hydrocortisone 1% cream, once/day, thin layer for one week.

If worse or not better, I would recommend seeing a local doctor.

Hope this is helpful.
Let me know if you need more clarifications.

Regards,
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (4 hours later)
The rash or whatever started a good two months ago and the itch and flaking just started and is not constant. I don't believe it is a per say fungal infection. It has a burning sensation as well. Any other thoughts? I have seen a doctor for this and thought maybe I could get a closer solution from your site.
doctor
Answered by Dr. Klarida Papaqako (16 hours later)
Brief Answer:
Please upload a photo

Detailed Answer:
Hello,

Thank you for the follow up question.

Of course I cannot tell for sure what the rash is, without seeing it.
You can upload a photo in the report section in the corner of this question.

The 2 diagnoses I mentioned are the most common causes of a itchy and flaky rash.
But there are many rashes that can be to, but less common.

I don't it is herpes if it is that what you are thinking, because it would have gone by now.
If it is thick flaky, it can be psoriasis which is a chronic problem.

Again, please upload a photo so I can have a look at it and reevaluate the possible diagnoses if needed.

Regards,
Dr. Papaqako
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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How Can An Itchy Purple Colored Rash On The Shoulder Blade Be Treated?

Brief Answer: Possible fungal infection or a contact dermatitis (eczema). Detailed Answer: Thank you for using Healthcaremagic to post your health query. I read carefully your question and I understand your concern. Since the rash it is itchy and flaking, I don't think it is broken vessels, because it would be normal skin and as you suspect would be more dark. I think the rash is an eczema from the friction during your sleep (or other causes) or a possible fungal infection (if it is well demarcated from the skin around). so, my suggestion is to use an antifungal cream for 7-14 days like ketoconazole 2% or Terbinafine 1% twice/day. If not better or it worse, use a steroid cream- Hydrocortisone 1% cream, once/day, thin layer for one week. If worse or not better, I would recommend seeing a local doctor. Hope this is helpful. Let me know if you need more clarifications. Regards, Dr. Papaqako