What causes a large red, painful acne like pimple on the back?
Actually, my wife has got a large red, painful acne/pimple on the back (between the shoulder blades).It has been growing gradually since last 2 weeks.
Kindly review the pictures in links below and advise what to do.
Infected sebaceous cyst;Oral antibiotics for week followed by cyst excision
Hello. Thank you for writing to us
I have read your query and I have also reviewed the Image.
This seems like a sebaceous cyst. Since it is painful, red and has also probably increased in size therefore that suggests that the cyst has probably got infected i.e a sebaceous cyst complicated by infection.
If I was the treating doctor I would suggest a course of an Oral antibiotic, preferably an aminopenicillin + clavulanic acid combination e.g either Augmentin or Clavum 625 mg thrice daily for week. This would take care of the infection and accompanying pain, redness and swelling.
In addition I would also suggest an oral antiinflammatory/ painkiller e.g ibuprofen tablet, twice or thrice daily for symptomatic relief from pain.
Once the infection resolves with a week of oral antibiotics, thereafter, the cyst need to be surgically removed in order to prevent this from happening again. This minor surgery can be done either by a surgeon Or a dermatologist therefore I suggest that you may visit either of them firstly for a prescription of an Oral antibiotic to help resolve infection and later for cyst excision surgery.
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