Persistent Rash on Chest for Approximately 15 Years After Chest Infection
For the past 30 minutes, I've been reflecting on a health issue that dates back to my teenage years. When I was 15, I experienced pleurisy, which led to ongoing respiratory issues. Soon after, I suffered from a chest infection that brought with it an intense rash right at the location of my pain. I had a persistent cough during that time as well. This rash resulted in minor scarring adjacent to my sternum. Ever since that incident, I've dealt with recurring rashes developing over those scars every few months. At times, it will crust or scab, and occasionally I notice some pus or discharge. Uniquely, these episodes do not seem to coincide with any cough or other symptoms. I’m left wondering if this is simply a permanent sensitivity of the skin or if there could be an underlying respiratory concern that warrants attention. Any insights would be greatly appreciated. Thank you!
Answers (1)
8/28/2025, 1:42:47 PM
OpenHealth AI
It sounds like you’ve been dealing with a frustrating skin issue for quite some time, and I appreciate you sharing the details. The recurring rash you've described, especially following your past chest infection and pleurisy, likely relates to localized skin sensitivity or irritation rather than an underlying respiratory concern.
Explanation:
The fact that your rash appears in the same area as previous pain and has led to minor scarring suggests it could be post-inflammatory hyperpigmentation or a form of contact dermatitis. The presence of crusting, scabbing, and discharge indicates that there might be an ongoing skin infection or irritation. This doesn't typically indicate a connection to respiratory issues since your flare-ups are not linked with respiratory symptoms like cough or shortness of breath.
Next Steps:
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Keep the Area Clean & Dry: Gently cleanse the affected area with mild soap and water, and make sure to pat it dry. Avoid using harsh soaps or scrubbing too hard.
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Moisturize: Apply a fragrance-free emollient or moisturizer regularly to keep the skin hydrated and help with healing.
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Avoid Triggers: Identify and avoid potential irritants (e.g., certain fabrics, soaps, or laundry detergents) that might be causing flare-ups.
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Monitor for Infection: If you notice increased redness, warmth, swelling, or more discharge, this may indicate infection, and you may need to consider topical antibiotics or other treatments.
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Document Your Rashes: Keeping a log of when the rashes flare and any associated activities or products may help you identify patterns, which could be useful for future discussions.
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Consider an Over-the-Counter Treatment: If the rash is itchy or inflamed, a topical hydrocortisone cream can help reduce inflammation, but use it sparingly and for short periods (no more than a week at a time).
If your symptoms worsen, or if you're uncertain about any medications or treatments, consider seeking further evaluation from a healthcare provider or dermatologist. Their input can help clarify the condition of the rash and determine whether more specific treatments are needed.
Thank you for sharing your concerns, and I hope these steps help you manage and improve your skin condition!
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