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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Red Bump On Scalp, Blood Oozes When Drained. Hydrogen Peroxide Used. Advise?

On my scalp i've had a red bump for about a month. At first it seemed to be a pimple on my scalp but i popped it and it turned into a blood red squishy lump that no matter how many times i've sanitized and drained it it just fills up and grows back to size again. Also when i drain it large amounts of blood come out unless i use hydrogen peroxide to stop the bleeding
Fri, 10 May 2013
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Dermatologist 's  Response
Hi, It seems that you are having Perifolliculitis capitis abscedens et suffodiens (PCAS), also known as dissecting cellultis of scalp, usually begins as a simple folliculitis, most often of the vertex and/or occiput, with clusters of perifollicular pustules rapidly followed by abscess and sinus formation.........
Nodules range from a few millimeters to several centimeters in diameter and may be firm or fluctuant. Seropurulent fluid may be expressed from fluctuant nodules. Lesions may persist for years and frequently heal with a scarring alopecia. No systemic symptoms are usually evident. PCAS has a strong tendency to recur.
It may confused with Acne keloidalis nuchae,Brocq pseudopelade,Tinea capitis or
Folliculitis decalvans... Thorough clinical examination by competent dermatologist should be done. And he should advise to perform bacteriologic culture on pus from the discharging perifolliculitis capitis abscedens et suffodiens (PCAS) lesions in order to treat the secondary infection .....and then he shoul start treatment...
Oral isotretinoin may be considered the treatment of choice.
Intralesional corticosteroids (eg, triamcinolone acetonide) can be injected into boggy nodules and sinus tracts to decrease inflammation.
Antibiotics such as doxycycline, ciprofloxacin, rifampicin, and dapsone have been used successfully in PCAS. Oral zinc sulfate has been used effectively and biologic agents such as adalimumab and infliximab have also been successfully employed...
Other therapeutic methods are laser, surgery and X ray epilation..
I hope you must be satisfied with my answer.. Ok . So, immediately you consult competent dermatologist....ok
Dr.Ilyas PatelMD,DVD
I find this answer helpful
General & Family Physician Dr. Achuo Ascensius's  Response
Hello,
thanks for using health care magic

It will be important to get the mass examined by a doctor
or a dermatologist.
Examination is important to rule out more serious causes.
Serious causes include tumors or cancers.
Tumors and cancers rapidly grow and may bleed severely when touch. Certain skin cancers have the potential of metastasis i.e. migrating to other parts of the body and worsening the disease.
Possible causes that have to be excluded include:
-hemangioma,
-botromycoma,
-skin cancer
-etc.
So it will be important to visit your doctor.

Hope this helps you.
Dr Achuo
I find this answer helpful

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
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Recurring Red Bump On Scalp, Blood Oozes When Drained. Hydrogen Peroxide Used. Advise?

Hi, It seems that you are having Perifolliculitis capitis abscedens et suffodiens (PCAS), also known as dissecting cellultis of scalp, usually begins as a simple folliculitis, most often of the vertex and/or occiput, with clusters of perifollicular pustules rapidly followed by abscess and sinus formation......... Nodules range from a few millimeters to several centimeters in diameter and may be firm or fluctuant. Seropurulent fluid may be expressed from fluctuant nodules. Lesions may persist for years and frequently heal with a scarring alopecia. No systemic symptoms are usually evident. PCAS has a strong tendency to recur. It may confused with Acne keloidalis nuchae,Brocq pseudopelade,Tinea capitis or Folliculitis decalvans... Thorough clinical examination by competent dermatologist should be done. And he should advise to perform bacteriologic culture on pus from the discharging perifolliculitis capitis abscedens et suffodiens (PCAS) lesions in order to treat the secondary infection .....and then he shoul start treatment... Oral isotretinoin may be considered the treatment of choice. Intralesional corticosteroids (eg, triamcinolone acetonide) can be injected into boggy nodules and sinus tracts to decrease inflammation. Antibiotics such as doxycycline, ciprofloxacin, rifampicin, and dapsone have been used successfully in PCAS. Oral zinc sulfate has been used effectively and biologic agents such as adalimumab and infliximab have also been successfully employed... Other therapeutic methods are laser, surgery and X ray epilation.. I hope you must be satisfied with my answer.. Ok . So, immediately you consult competent dermatologist....ok Dr.Ilyas PatelMD,DVD