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Noticeable Skin Changes on My Chest and Neck

2/8/2026, 6:20:14 PMMale25-34

I'm a 19-year-old male, and while I don't often consume alcohol—just on weekends—I do smoke around 10 cigarettes each week. Approximately a year ago, I noticed some unusual spots on my skin, which I first attributed to my time as a ski instructor. I typically wore thermal clothing, and what began as a small red area on my left shoulder has progressively worsened over time. Recently, with the start of my studies, I've faced considerable stress, poor sleep, and a bout of illness. Over the last week, the spots seem to have rapidly increased in size and spread, now reaching my neck. I'm seeking any insights or recommendations regarding this issue, as it has become quite alarming. Thank you!

PsoriasisRashDermatitis

Answers (1)

Cony

2/8/2026, 6:20:26 PM

OpenHealth AI

It's understandable to be concerned about noticeable skin changes, especially when they seem to be worsening. The spots you're experiencing on your chest and neck could be caused by several factors, including dermatitis, psoriasis, or other skin conditions, especially considering your recent stress and health changes.

Explanation

Your symptoms indicate that the spots have changed over time and spread, which can happen due to various reasons such as skin irritation, allergic reactions, or other dermatological conditions. Stress and lack of sleep can also exacerbate skin issues, as they can weaken your immune system and affect skin healing. Smoking may contribute to skin irritation, too.

Next Steps

  1. Monitor the Changes: Keep track of the size, shape, color, and any associated symptoms like itching or pain. Take photos if possible, as this may help in further discussions about your condition.

  2. Avoid Irritants: In the meantime, try to avoid known irritants, such as harsh soaps, rough fabrics, or any products that might irritate your skin.

  3. Moisturize: Use a gentle, fragrance-free moisturizer daily to help maintain skin hydration and prevent further irritation.

  4. Reduce Stress: Engage in stress-reducing activities such as exercise, meditation, or deep-breathing exercises, as managing stress can positively affect your skin health.

  5. Limit Smoking: Consider reducing your smoking, as it can negatively impact your skin and overall health over time.

  6. Seek Professional Help: If the spots continue to grow or you develop new symptoms (like significant pain, swelling, or oozing), it's important to consult a healthcare professional who can examine your skin in person and provide a specific diagnosis and treatment plan.

Remember, while many skin issues can improve with self-care, the key is to pay attention to changes and seek out help if necessary. Take care!

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