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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Clusters Inside Elbows And Neck, Looking Like Red Dots With Whiteheads, Sensitive To Touch. Treatment?

Hi, this morning I woke up and there were clusters of about 7 on the insides of my elbows and 2 on my neck! They look like red dots with little whiteheads inside them but its not acne! They just Apeared this morning as I had none yesterday! I didn't do anything out of the usual, sleeping in my same bed and everything. They are not itchy but if are sensitive to the touch...please help!
Sat, 27 Apr 2013
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Dermatologist 's  Response
Hi,
Welcome and thanks for posting your query to HCM.
After reading your query it is too early to make a pin point diagnosis as you have not mentioned your age and side of appearance, even then we can make out two possibilities:
1.     Herpes zoster: If the lesions are on the same side then there is possibility of this problem which is actually a viral infection by herpes virus causing unilateral appearance of blisters with pain in it. If you are young adult then this is not a thing of worry but if you are post 40 years then definitely need antiviral therapy.
2.     Contact irritant/allergic dermatitis(CID):It appears due to contact with some allergic or irritant material. Though according to you have not done anything unusual so possibility is less.
For the time being keep a watch over the lesions if they increase or become large in size or painful then you must consult a dermatologist who can prescribe you the treatment accordingly. Till that time you can do cold compressions for multiple times a day and can apply very thin layer of calamine lotion. Do not apply anything having irritant potential- and no self medications.
Hope this information will be helpful.
Dr Sanjay K Kanodia
MD ( Dermatology and STD/ Venereology)
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Clusters Inside Elbows And Neck, Looking Like Red Dots With Whiteheads, Sensitive To Touch. Treatment?

Hi, Welcome and thanks for posting your query to HCM. After reading your query it is too early to make a pin point diagnosis as you have not mentioned your age and side of appearance, even then we can make out two possibilities: 1. Herpes zoster: If the lesions are on the same side then there is possibility of this problem which is actually a viral infection by herpes virus causing unilateral appearance of blisters with pain in it. If you are young adult then this is not a thing of worry but if you are post 40 years then definitely need antiviral therapy. 2. Contact irritant/allergic dermatitis(CID):It appears due to contact with some allergic or irritant material. Though according to you have not done anything unusual so possibility is less. For the time being keep a watch over the lesions if they increase or become large in size or painful then you must consult a dermatologist who can prescribe you the treatment accordingly. Till that time you can do cold compressions for multiple times a day and can apply very thin layer of calamine lotion. Do not apply anything having irritant potential- and no self medications. Hope this information will be helpful. Dr Sanjay K Kanodia MD ( Dermatology and STD/ Venereology)