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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itchy Bump On Arms, Shoulders, And Abdomen. Clear Secretion. Have Allergies

Areas of skin on arms, shoulders, abdomen are intensely itchy before a bump appears. The bump appears to have a tiny hole in the center. The bump is symmetrical and round. When it is healing it appears to have an indention in the skin (like a little skin is missing). It may start to dry up and appear to heal, but then the itching starts again and the whole cycle repeats. Topical steroids are less effective for itch than triple antibiotic oint. I am desperate and have even switched from goats milk soap to pine tar soap. I have allergies/ asthma . I take allergy shots, but these areas are not hives . The only secretions that come from these bumps are blood (or clear fluid). If they ever do manage to heal, my skin is left scarred.
Mon, 15 Oct 2012
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Allergist and Immunologist 's  Response
Hello,
It does appear that you may have eczema although they are not intensely itchy. I hope these have not happened after the allergy shots in which case you need to get the concentration and content of the shots (subcutaneous immunotherapy, I suppose) reviewed by your Allergist.
Long-acting antihistamines are recommended as a trial in the first instance.
If you wish to exclude a fungal infection, a skin scraping needs to be taken and KoH preparation under Wood's lamp will reveal this. However, this is unlikely.
I was not sure what you meant with the soap, but soaps are not recommended in dry skin//eczema as they dry the skin more. Try a soap substitute like Epaderm instead.
Thanks.
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Itchy Bump On Arms, Shoulders, And Abdomen. Clear Secretion. Have Allergies

Hello, It does appear that you may have eczema although they are not intensely itchy. I hope these have not happened after the allergy shots in which case you need to get the concentration and content of the shots (subcutaneous immunotherapy, I suppose) reviewed by your Allergist. Long-acting antihistamines are recommended as a trial in the first instance. If you wish to exclude a fungal infection, a skin scraping needs to be taken and KoH preparation under Wood s lamp will reveal this. However, this is unlikely. I was not sure what you meant with the soap, but soaps are not recommended in dry skin//eczema as they dry the skin more. Try a soap substitute like Epaderm instead. Thanks.