Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
123 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What is the dry non itchy rash on the shoulder blades?

Hi, I have a circular non itchy rash in between my shoulder blades, it started a few weeks ago as just 2 patches but is now spreading, it appears quite faint, darker around the edges and a little dry. My boyfriend also has a similar rash around his collar bone
Thu, 12 Feb 2015
Report Abuse
Dermatologist 's  Response
Hello. Thank you for writing to us

I suggest a possibility of Pityriasis Versicolor. It is a coincidence that both you and your boyfriend have the same condition.
P. Versicolor is a superficial fungal infection caused by a yeast, Malassezia furfur.
This yeast feeds on the oil produced by sebaceous glands.
In hot and humid weather conditions this yeast may proliferate and form reddish brown, scaly lesions on sebaceous gland rich areas i.e chest, shoulder, back and proximal extremities.
The diagnosis can be confirmed by KOH scraping and visualizing it under the microscope for fungal elements.
P. versicolor lesions are asymptomatic.
Treatment is either with Oral antifungals like fluconazole Or with Topical antifungals like ketoconazole.
I usually suggest my patients to use a ketoconazole based lotion over the whole affected area once daily during shower, lather it well and left over for 5 minutes.
This exercise should be repeated once daily for 5 days.
Lesions may resolve with post-inflammatory hypopigmentation which resolves gradually over the next 2-4 weeks.
I suggest you to visit a dermatologist for a confirmatory diagnosis as well as appropriate treatment.

Regards
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Skin rash


What is the dry non itchy rash on the shoulder blades?

Hello. Thank you for writing to us I suggest a possibility of Pityriasis Versicolor. It is a coincidence that both you and your boyfriend have the same condition. P. Versicolor is a superficial fungal infection caused by a yeast, Malassezia furfur. This yeast feeds on the oil produced by sebaceous glands. In hot and humid weather conditions this yeast may proliferate and form reddish brown, scaly lesions on sebaceous gland rich areas i.e chest, shoulder, back and proximal extremities. The diagnosis can be confirmed by KOH scraping and visualizing it under the microscope for fungal elements. P. versicolor lesions are asymptomatic. Treatment is either with Oral antifungals like fluconazole Or with Topical antifungals like ketoconazole. I usually suggest my patients to use a ketoconazole based lotion over the whole affected area once daily during shower, lather it well and left over for 5 minutes. This exercise should be repeated once daily for 5 days. Lesions may resolve with post-inflammatory hypopigmentation which resolves gradually over the next 2-4 weeks. I suggest you to visit a dermatologist for a confirmatory diagnosis as well as appropriate treatment. Regards