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Suggest treatment for sebaceous cyst on back

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Posted on Fri, 15 May 2015
Question: I am a 26 year old male with fair skin. I have had a pimple like bump on my back for at least several months that has not gone away. If accidentally scratch it too hard it will bleed. I have attached a picture. Should i be concerned? Thank you
doctor
Answered by Dr. Geetika Paul (20 minutes later)
Brief Answer:
Chronic infection ,need treatment

Detailed Answer:
Hi

I understand your concern regarding your skin problem and I hope I am able to help you in the same.
I have seen the attached pictures .
You seem to have developed either a chronic folliculitis or a sebaceous cyst .
You need to keep the affected area clean and dry . Apply a topical antibiotic cream like neosporin or mupirocin over the affected area twice daily . You might a course of oral antibiotics if the lesion tends to persist or increase.
Take some oral anti inflammatory agent like ibuprofen or paracetamol along if there is any pain .
The lesion should heal in sometime ,however if it still tends to persist you might either need oral antibiotics or get it removed .
Avoid rubbing or scratching the lesion .

Hope it helps


Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Geetika Paul (19 minutes later)
Just for reference, i attached a picture of it from a couple of days ago when i accidentally scratched it. It would not let me upload 2 pictures. Does this still look like a cyst? Thank you .
doctor
Answered by Dr. Geetika Paul (30 minutes later)
Brief Answer:
More like a chronic infection

Detailed Answer:
Hi again

Thanks for the pictures and details


The lesion looks more like a chronic folliculitis lesion .
Such lesions usually tend to heal with proper treatment . Incomplete treatment is the cause of persistent lesions or recurrence.
You can start treatment as advised.
You might need a course of oral antibiotics like azithromycin if the infection tends to persist .

Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Geetika Paul

Dermatologist

Practicing since :2008

Answered : 2606 Questions

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Suggest treatment for sebaceous cyst on back

Brief Answer: Chronic infection ,need treatment Detailed Answer: Hi I understand your concern regarding your skin problem and I hope I am able to help you in the same. I have seen the attached pictures . You seem to have developed either a chronic folliculitis or a sebaceous cyst . You need to keep the affected area clean and dry . Apply a topical antibiotic cream like neosporin or mupirocin over the affected area twice daily . You might a course of oral antibiotics if the lesion tends to persist or increase. Take some oral anti inflammatory agent like ibuprofen or paracetamol along if there is any pain . The lesion should heal in sometime ,however if it still tends to persist you might either need oral antibiotics or get it removed . Avoid rubbing or scratching the lesion . Hope it helps Dr Geetika Paul