Acne from Steroid Cream or Allergic Reaction?
I recently experienced a type of contact dermatitis on the inner sides of both elbows, which then extended further along my right arm. Initially, I applied a standard hydrocortisone cream at a concentration of 2.5%, but it didn’t yield the expected results. Consequently, a dermatologist suggested I try a stronger formulation—though I'm currently away from home and can’t recall its exact name, I think it starts with an 'L'. Now, the dermatitis seems to have improved on both arms, and the itchiness has ceased. However, I noticed that on my right arm, where I applied more of the cream, there are now bumps that resemble acne, but they feel deeper than typical acne lesions. I’m uncertain whether this reaction is due to the steroid cream or if it warrants further concern. Overall, I feel fine; I did experience a mild cold and headache earlier last week, but those symptoms have since resolved.
Answers (1)
7/23/2025, 2:01:47 AM
OpenHealth AI
It sounds like you have been managing contact dermatitis with different types of steroid creams, and while the itchiness has resolved, you are now noticing bumps on your right arm that resemble acne. This could be a reaction to the steroid cream or possibly a different skin condition.
Key Points:
- The bumps could be due to an effect of the stronger steroid cream, such as folliculitis (inflammation of hair follicles) or acneiform eruptions (acne-like lesions).
- As the dermatitis has improved and you feel generally well, these new symptoms might need closer observation rather than immediate concern.
Explanation:
Topical steroid creams help reduce inflammation in skin conditions like dermatitis, but sometimes they can lead to side effects, especially with prolonged use or excessive application. The bumps you're seeing might indicate that the cream is irritating the hair follicles or that your skin is reacting to the medication.
Next Steps:
- Limit Application: Reduce the amount of steroid cream you use, especially on the areas with bumps. Use it only as directed by the dermatologist.
- Gentle Skin Care: Clean your skin with a mild, fragrance-free cleanser and moisturize regularly. This can help with healing and comfort.
- Monitor the Bumps: Keep an eye on the bumps over the next week. If they do not improve, spread, or worsen, it may warrant a discussion with your dermatologist about adjusting your treatment.
- Avoid Irritants: Try to avoid any additional irritants such as harsh soaps, fragrances, or other topical products on the affected area.
- Stay Observant: If you notice any new symptoms like increased pain, swelling, or additional rash, give those higher priority.
If you have any concerns or if your symptoms do not improve, it is recommended to reach out to your dermatologist for further evaluation, especially since you mention being away from home. Take care and feel free to update on your progress!
Related Questions
Nine Days After Surgery: Severe Rash Woes
A 29-year-old female underwent robotic gallbladder removal. During a follow-up appointment yesterday, her surgeon suggested that she might be experiencing an allergy to the surgical adhesive or the preparation used prior to the operation. The surgeon removed the adhesive and advised her to take Benadryl. Lately, she has noticed that her wounds have been oozing, particularly at the site from which her gallbladder was extracted; this area displays a significant incision due to a the removal of a 4.3 cm stone. She's seeking remedies to alleviate her condition, stating that she had to apply band-aids last night to prevent her shirt from adhering to the rash, despite the irritation being quite severe. She suspects it could be a form of dermatitis.
Considering Fibroscopy: Is It Necessary?
Greetings! I am a 32-year-old male. A couple of days ago, I experienced a fever and attempted to alleviate it by placing a cool cloth on my forehead while ensuring I stayed hydrated. Although I felt a little improvement, I soon developed a headache, which made sleeping difficult that night. I skipped dinner because I lacked the motivation to prepare anything, a decision I regret now. After several hours of restless tossing, I felt nauseous and ended up vomiting a small amount of water, which led to a sharp pain in my throat. In hopes of finding some relief, I ate a light meal and continued sipping water. An hour later, I vomited again, this time expelling food that seemed to contain traces of blood. It’s tricky to assess the quantity; even minimal blood can seem significant when mixed with other substances. The next morning, I noticed a metallic taste in my mouth when I burped, but thankfully that sensation passed after I had breakfast. Concerned about my symptoms, I consulted a physician who ordered an emergency blood test; thankfully, the results were within normal ranges. She prescribed three medications: one for the fever, another to decrease stomach acid production, and a third to combat infection. She also suggested that I undergo a fibroscopy for further evaluation. As of now, my headache and fever have subsided, but I have developed a new symptom—a sore throat with a burning sensation. It may not be directly related, but I've dealt with a persistent metallic taste in my throat for several years. Last year, I consulted an ear, nose, and throat (ENT) specialist about a growth I noticed on the inside of my right cheek. After a thorough examination, he informed me that everything appeared normal. I inquired about the possibility of having strep throat, but he reassured me that my mouth looked healthy. When I mentioned my recurring metallic taste, he didn’t provide any specific comments or insights into what might be causing it. Now, I find myself pondering whether I should proceed with the fibroscopy. My blood tests returned normal, I haven’t experienced further vomiting, and the metallic sensation during burping has ceased. My most recent bowel movement was normal, typically dark brown, likely due to constipation, as I normally have a bowel movement every three to four days.
Is Vaccination Necessary for My Situation?
I'm a 22-year-old female, and recently, I was scratched by my friend's keys during a playful encounter with some dogs on the street. Although the scratch didn’t cause any bleeding, it is still a shallow wound. Given that I reside in a region where rabies is prevalent, I'm feeling quite anxious about this incident. Can someone please advise me on the best course of action?
What Are the Effects of Taking Iron Supplements After Donating Blood?
Recently, I donated blood—approximately one unit—and afterward, I was given some iron tablets. Unfortunately, I was already grappling with feelings of hopelessness due to an unrelated issue and made the impulsive decision to consume about ten iron pills, thinking it might lead to an overdose. Now, I am experiencing symptoms such as diarrhea, an upset stomach accompanied by excessive gas, and a mild headache. I also feel a bit faint, but it seems manageable at the moment. Am I at risk of overdose? It seems like it would require a significantly larger quantity of iron to cause serious harm. Also, considering I donated blood today, I assume my body might balance things out, right? Just to clarify, I’m not contemplating anything drastic any longer. I'm genuinely curious about the situation.
Concerns About STDs/STIs and Toothbrush Tampering
Hello, I am a 31-year-old Indian American woman, standing at 5 feet 5 inches tall and weighing 145 pounds. Is it possible to transmit an oral STD or STI through the use of a toothbrush that may have been altered by someone? I have a relative residing in the UK. During our conversations, this family member shared that routine physical check-ups aren't as common in the UK as they are in the United States; rather, he mentioned that individuals typically visit a doctor only when they experience an issue. He also shared updates about his various encounters through Hinge following his breakup from a long-term relationship. Shortly after our chat, we ended up having a major disagreement. The following day, I noticed a sore developing along my lower gum line right behind my last tooth (I had my wisdom teeth extracted a long time ago). The discomfort occasionally extends to my jaw. I've never experienced cavities before, and I'm quite anxious that my family member may have compromised my toothbrush. It was a brand new brush, along with a protective case, so I believe moisture from any tampering would remain on the toothbrush longer than if it were dried by the air. I realize this might appear somewhat obsessive or excessively anxious, but I am genuinely curious about the types of infections that could potentially be transmitted via a toothbrush that has been covered, thus avoiding any direct exposure to air. Thank you!