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!
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