Seeking Insights on Recurring Flat Red Rash Near Breast
Hello, I'm a 28-year-old female. For the last two years, I’ve experienced a persistent flat red patch that appears and disappears on the left side of my breast. This has been accompanied by a nagging itch around my nipple for the past three years. Despite consulting several general practitioners and breast specialists about the nipple issue, I felt dismissed. Consequently, I opted for a private biopsy with a dermatologist last year. The results indicated inflammation and seborrheic keratosis; however, the dermatologist was unable to provide an explanation for my symptoms since nothing seemed visible at the time. I sought a second opinion from another dermatologist, but unfortunately, the transient nature of the rash meant it had faded by my appointment, leading to its cancellation. I'm uncertain if the rash and the itching are connected. Over the years, I’ve tried numerous steroid creams on both the rash and the nipple itch. At one point, I was even advised to use vapor rub and Vagisil. Recently, the rash reappeared at the end of January and is now larger than before, although it remains flat and non-itchy. I’ve also noticed a lump underneath the affected area, prompting me to arrange a private ultrasound on Monday. The results suggested something related to “fibro” along with two cysts present in the vicinity. If anyone has suggestions or insights that I can discuss in a future appointment, that would be incredibly helpful as I'm finding this situation quite distressing. Thank you, I will share additional images in the comments.
Answers (1)
2/13/2026, 9:50:42 PM
OpenHealth AI
It's understandable that you're feeling concerned and frustrated about the ongoing rash and associated symptoms. You’ve taken significant steps in seeking medical opinions, and it’s important to continue advocating for your health.
Main Points:
- The persistent rash and itching may have multiple underlying causes, which can be related or independent.
- It’s crucial to monitor changes in your symptoms, notably the size and nature of the rash and the lump beneath it, especially now that it’s larger than before.
- Further dialogue with your healthcare providers should focus on your specific symptoms and their possible connections.
Explanation:
The flat red patch on your breast and the itching around the nipple can indicate various conditions, including inflammatory skin diseases, allergic reactions, or seborrheic conditions like seborrheic keratosis, which was noted during your biopsy. The presence of a lump and the new ultrasound findings suggest that further investigation is necessary to rule out any serious conditions.
Since the rash has changed in size and you’ve noticed a lump, keeping an eye on any additional changes in color, texture, or sensation will be important. Given the inflammation indicated in your biopsy, this may contribute to other symptoms.
Next Steps:
-
Document Symptoms:
- Maintain a detailed symptom diary including when the rash appears, how long it lasts, any changes in size or color, and any associated symptoms (like itching or pain). Take note of any triggers or patterns that you might observe.
-
Review Ultrasound Findings:
- Prepare questions based on your ultrasound results regarding the "fibro" findings and cysts. Confirm what these terms mean in your context, and ask about the next steps in evaluating the cysts.
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Discuss Management Options:
- When you see your healthcare provider next, discuss the management of the rash, including potential treatments like topical therapies or lifestyle modifications. Emphasize your concerns about the itch and lump for a comprehensive approach.
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Consider a Referral:
- If you feel your concerns are still being overlooked, consider asking for a referral to a specialist in dermatology who focuses on complex skin conditions or to a rheumatologist if autoimmune conditions are suspected.
Your experiences and symptoms are valid, and it’s vital to ensure you find a healthcare provider who listens and supports you. Please remember that ongoing communication about your health is key to finding effective solutions.
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