Persistent Skin Lesion on Chin and Shoulder for a Fortnight
A 24-year-old male reports the presence of a skin lesion on his chin and shoulder that has persisted for two weeks. He notes that his skincare routine has remained unchanged during this time. The affected areas initially produced a clear fluid and were extremely itchy. Following this phase, the lesions developed a crusty texture, characterized by an orange hue, mirroring the condition found on his shoulder. Similarly, there have been no modifications to the body wash he uses.
Answers (1)
2/2/2026, 11:20:35 AM
OpenHealth AI
A persistent skin lesion that has changed in appearance over two weeks, especially with symptoms like itching and a crusty texture, may indicate a number of conditions, including contact dermatitis, a fungal infection, or another type of dermatitis. It’s important to address these symptoms carefully.
Explanation:
Initially, the clear fluid and intense itchiness suggest an inflammatory process, which could be due to an allergic reaction, irritation from hair products, or a fungal infection. The crusty, orange-hued lesions may indicate a secondary infection or a more chronic skin condition that needs to be properly managed.
Next Steps:
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Keep the Area Clean and Dry: Gently wash the affected areas with a mild, fragrance-free soap, and avoid scrubbing. Pat the skin dry after washing to prevent irritation.
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Avoid Irritants: Steer clear of fragrances, harsh skincare products, and body washes until the lesions improve. Use the least irritating products possible.
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Apply a Barrier Cream: Consider using a fragrance-free moisturizer to protect the skin and reduce itching. Avoid occlusive products that may trap moisture and worsen the situation.
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Monitor Symptoms: Keep track of any changes in appearance, such as increased redness, swelling, or oozing, as well as any new symptoms.
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Limit Scratching: While it’s challenging, try to avoid scratching the lesions, as this may cause further irritation or infection.
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Consider a Topical Treatment: If symptoms persist after a week or worsen, you can try over-the-counter hydrocortisone cream or antifungal cream, based on your belief about the nature of the lesions (e.g., if you suspect a fungal infection).
If these steps do not lead to improvement within the next week, or if your symptoms worsen significantly, it would be important to seek a professional evaluation to rule out more serious conditions and get a tailored treatment plan. Your skin health is crucial, and timely intervention can lead to better outcomes.
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