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Seeking Insights on Skin Irritation: Folliculitis or Heat Rash?

4/3/2025, 11:10:24 PMMale25-34

Hello, everyone! I'm a 38-year-old male reaching out for your insights. - I've noticed some red, slightly raised bumps appearing on the backs of both hands and extending up to the tops of my forearms, nearly reaching my elbows. - For the last two weeks, I've been using new carpal tunnel wrist braces—these replaced my previous ones, which had a different design. I typically wear them at night and occasionally during brief periods of computer work throughout the day. - The affected areas have a sensation akin to tiny needles; they feel dry and tight to the touch. - Additionally, these regions are intensely itchy. Running icy water over my forearms provides temporary relief from the prickling and itchiness. - Since the rash first appeared, I've avoided any braces or sleeves or other items that could come in contact with my arms. - Initially, the bumps were restricted to the regions covered by the wrist braces (both hands and mid-forearms), which led me to think it could be a heat rash or friction rash. - However, over the past two days, I've observed that the bumps have now spread to my elbows as well. - The redness seems to be concentrated around individual hair follicles. - When I gently stretch the skin, it looks like the areas surrounding the red bumps are dry. - I haven't modified any of my personal care products, such as shampoos or soaps; I've been using the same items for the past 20 years without any changes. I previously shared images of my condition in another forum but am unable to do so here. I've included a link to that post for anyone interested in a visual. Thank you for your time!

NeurologyENT

Answers (1)

Cony

4/3/2025, 11:10:45 PM

OpenHealth AI

Based on your description, it seems like you may be experiencing either folliculitis or a form of irritant contact dermatitis potentially triggered by your new wrist braces. Here’s a breakdown of your symptoms and next steps.

Main Points:

  • The red, raised bumps on your forearms and hands could indicate folliculitis (inflammation of hair follicles) or irritation from friction.
  • The itchiness and dry sensation, along with their location correlating with the use of the wrist braces, suggest an allergic or irritant reaction.

Explanation:

Folliculitis usually manifests as red bumps around hair follicles, often itchy and sometimes painful. Irritant contact dermatitis can result from friction or pressure against the skin, especially combined with moisture, leading to redness, dryness, and itchiness. Your description of using wrist braces could suggest that ongoing friction or pressure is aggravating your skin.

Next Steps:

  1. Discontinue Use of Wrist Braces: Since symptoms began shortly after starting your new braces, take a break from wearing them to see if your condition improves. Consider alternative support methods that may not irritate your skin, or ensure any items you wear are made from breathable materials.

  2. Moisturize Affected Areas: Apply a gentle, fragrance-free moisturizer to your forearms and hands. This can help relieve dryness and improve skin hydration. Look for products that contain ceramides or hyaluronic acid for better results.

  3. Cold Compress: To manage itchiness, use a cold, damp cloth or ice pack wrapped in a towel on the affected areas for several minutes at a time. This can provide temporary relief from the itching sensation.

  4. Avoid Scratching: Try to avoid scratching the bumps, as this can lead to further irritation or even infection. Keeping your nails trimmed might help reduce damage if you accidentally scratch.

  5. Observe the Changes: Watch for any changes over the next few days. If the bumps persist, worsen, or if you notice additional symptoms (like pus, fever, or worsening pain), then it would be important to seek medical attention.

Take care, and let me know if you need further assistance or have more questions!

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