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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sore rash that starts on neck and spreads around, itchy. What is it ?

For the past 2 plus years I have had a flat red rash that starts on my neck and works it s way around the whole of my neck. It becomes hot, sore, and can be there for days. When it does go down I can pull little bits of skin off - a bit like sunburn . It s appearance looks a bit like I have been burnt. The skin can become taught. It can come and go on it s own accord. It normally starts when I feel my neck tingleing and some timed it can be itchy - quite itchy when it s completely around the whole of my neck. The doctors haven t been able to advise what it is and just tell me to moisturise it.
Tue, 16 Oct 2012
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Dermatologist 's  Response
Hi there julia

First, dermatology is a visual field & as such would greatly appreciate a clear digital photograph of the lesion uploaded on this website using the 'upload data' icon.

Should you wish discretion, feel free to use our premier 'ask-a-doctor' feature & directly get in touch with mois or any other dermatologist.

From your clinical description, it does appear like a photosensitive skin eruption.

Is there any family history of porphyrias or any other photosensitive disorders or any gentic ailments eg. dry skin disorders or thyroid ailments?
Do you use perfumes/deos etc & note any aggravation wuth the same?
Does moisturising help it? Do you use sun protection?

To my mind, a skin biopsy is in order & should help clinch the diagnosis. Do go across to a dermatologist nearest to you & am, sure it will all be sorted out!

Cheers & good luck!

Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Vikram Hospital, Bangalore,India
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