Concerning Skin Growth
I am a 38-year-old female, generally in good health, though I've been diagnosed with Hidradenitis Suppurativa. Recently, I experienced a troubling development: last weekend, a patch on my upper back began to itch and felt warm to the touch. At first, I dismissed it. However, by mid-week, the itchiness faded, making way for pain, and it became elevated and sensitive when touched. The sensation felt distinct from the Hidradenitis flare-ups I typically endure, which only occur in my armpits and beneath my breasts. Since I rarely suffer from acne on my back, I initially attributed the situation to that and started to treat it gently with tea tree oil. Although the pain has lessened over time, the sensitivity remains. Due to its location, I struggled to inspect the area for most of the week, but I managed to get a glimpse today. What I observed was a raised bump featuring a crusty, greenish center. I took a photo of the lesion and sent it to my healthcare provider, although I won’t receive feedback until at least Monday. My main concern is whether I should be alarmed about this development.
Answers (1)
12/13/2025, 7:20:52 PM
OpenHealth AI
It sounds like you are experiencing a new and concerning skin growth on your upper back, which is different from your usual Hidradenitis Suppurativa flare-ups. The symptoms you describe, including the raised bump with a crusty, greenish center, may indicate an infection or another skin condition that warrants closer attention.
Explanation:
The fact that the area was itchy, felt warm, and is now painful suggests there might have been an inflammatory process at play. The crusty, greenish center could potentially indicate a bacterial infection (such as a folliculitis or an abscess) or possibly a different dermatological issue. Given your existing condition of Hidradenitis Suppurativa, it is understandable to have heightened concern about any new skin developments.
Next Steps:
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Monitor Symptoms: Keep watching the growth closely for any changes in size, color, or if it starts to drain. Document any changes like increasing pain or swelling.
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Avoid Irritants: Try not to apply untreated oils or ointments to the area until you receive professional feedback, as they might exacerbate irritation or mask symptoms.
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Keep it Clean: Gently cleanse the area with mild soap and water to reduce the risk of further irritation or infection. Avoid scrubbing it too hard.
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Pain Management: If the area is still painful or sensitive, consider over-the-counter pain relievers like ibuprofen or acetaminophen as needed.
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Prepare for Healthcare Consultation: Since you’ve already reached out to your healthcare provider and have sent them a photo, prepare to discuss all the symptoms you've experienced and any additional changes when you hear back from them.
Follow Up:
If you notice any severe symptoms such as fever, increasing redness, or the bump begins to drain pus, it is crucial to seek immediate medical attention. This ensures you receive appropriate treatment as soon as possible.
Stay attentive to your body, and I hope you receive the feedback you need soon for a clearer path forward.
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