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Dr. Andrew Rynne

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hard lumps on scalp , with smaller rash like bumps

Answered by
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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 2541 Questions

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Posted on Sun, 30 Dec 2018 in General Health
Question: hard lumps on scalp, with smaller rash like bumps , getting larger, spreading
doctor
Answered by Dr. Antoneta Zotaj 42 minutes later
Brief Answer:
Kindly provide some more information related to the lesions

Detailed Answer:
Hello,

Thank you for the picture and the information provided.

I carefully checked the picture. I wound need some more information related to the lesions.
- for how long have you had them?
- I could not notice well the bumps on the scalp, how big are them? Are they red? Are they only on one area of the scalp or spread? Can you attach another picture or two with the bumps being more visible?
- do they cause any discomfort to you, pain, itchiness, dandruff?
- do you have hair loss with them?
- have you done any tests or examinations related to this condition?
- do you have any lesions in other areas of the skin or mouth lesions?
- any joint problems?
- other people at home having similar symptoms?
- do you use any drugs regularly for other conditions?
- do you XXXXXXX your hair and are the spots related in time to that?
- do you relate them to something specific?

The information above will help better understand the cause of the lesions and I kindly ask you to reply and answer the questions.

Waiting to hear from you.

Regards,

Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Antoneta Zotaj 36 minutes later
There are also small bumps on his chest.
They are both clear and red..3 days and lumps are large. Bigger then a marble..very painful.lumps are under the scalp while the smaller bumps almost resemble poison ivy
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Follow up: Dr. Antoneta Zotaj 1 hour later
I sent 4 new photos, ted 4 is on his chest, ted3 is new lump on neck, ted is lump on scalp, ted2 is bumps on neck below scalp
doctor
Answered by Dr. Antoneta Zotaj 1 hour later
Brief Answer:
Detailed answer below

Detailed Answer:
Hello,

Thank you for the pictures, i was able to see the lesions better.

There are some causes of lesions on the skin from yeast infection, bacterial infection and local reaction similar like dermatitis to a systemic condition (a problem somewhere else in the body that might cause skin lesions as well) or due to medications reactions if he is using any medications.

If the lesions have been there for only 3 days and they have spread so much it is not very likely to be a yeast infection but dermatitis and bacterial infection can actually spread and develop quite quick.

If he is using a medication regularly this is very important information as sometimes reaction to medications might show up with similar lesions.

It is safer to have a visit with the doctor and decide on treatment. It might be helpful to try oral antibiotics like augmentin (if he is not allergic to peniciliins) and a local steroid cream like betamethasone twice a day. The antibiotic would take care in case of a bacterial infection and the steroid for the local dermatitis and inflammation. Meanwhile try to avoid contact with any possible chemical that might aggravate the lesions.

If no improvement in 3-4 days or any worsening he will need to let his doctor know again and possibly consider systemic conditions and then tests might be needed to make sure things are well.

I hope I have answered to your query. Let me know if I can assist you further.

Kind regards,

Antoneta Zotaj
General & Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Antoneta Zotaj 39 minutes later
He does not take any medications, and he does not have insurance, so we were hoping if it was anything less than cancer or a lymph node condition we could find an over the counter remedy, I got lavender oil, benzoyl peroxide, and bactine XXXXXXX .if it does not stop growing or spreading within the next 3-4 days, we will have no choice but to go to the doctor. Are there any natural or otc steroids or antibiotics?
doctor
Answered by Dr. Antoneta Zotaj 6 minutes later
Brief Answer:
Local antibiotic and steroid can be tried

Detailed Answer:
Hello,

He can try local antibiotics that ate over the counter like the ones with mupirocine and an over the counter steroid like hydrocortisone or betamethasone (betamethasone is better if than hydrocortisone if he can take it over the counter). He can apply the antibiotic cream on lesions 3-4 times a day and the steroid twice a day.
If no improvement in 3-4 days or any worsening he needs to see a doctor.

I hope I have answered to your question. Let me and if I can assist you further.

Regards,

Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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