[19F] With chronic sores on breast and chest area

Sure, Kayleigh. Based on the information you've provided, here is some advice that might help you understand what might be happening, what you can do, and what you should look out for.

What might be happening

Based on your symptoms, here are some possible conditions that could explain your sores:

• Acne (Cystic Acne): This is a severe form of acne that causes large, painful, pus-filled cysts. These can leave scars and marks after they heal. Acne can be influenced by hormonal changes, stress, and certain skincare products.

  • Treatment: Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid can help. For more severe cases, a doctor might prescribe oral antibiotics, retinoids, or hormonal treatments.

• Hidradenitis Suppurativa: This is a chronic skin condition that causes small, painful lumps under the skin, often in areas where skin rubs together, such as the armpits, groin, buttocks, and under the breasts. These lumps can break open and drain fluid or pus.

  • Treatment: Treatment options include antibiotics, anti-inflammatory medications, and in some cases, surgery. Lifestyle changes, such as weight management and wearing loose-fitting clothing, can also help.

• Folliculitis: This is an infection of the hair follicles that can cause red, swollen bumps that may be filled with pus. It can be caused by bacteria, fungi, or irritation from shaving or tight clothing.

  • Treatment: Mild cases can be treated with good hygiene and over-the-counter antibacterial washes. More severe cases may require prescription antibiotics or antifungal medications.

• Boils (Furunculosis): These are painful, pus-filled bumps that form under the skin when bacteria infect and inflame one or more hair follicles. They can leave scars after they heal.

  • Treatment: Warm compresses can help the boil drain and heal. In some cases, a doctor may need to drain the boil and prescribe antibiotics.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Maintain Good Hygiene: Keep the affected area clean and dry. Use a gentle, non-comedogenic cleanser to wash the area daily.
2. Avoid Irritants: Avoid using harsh soaps, lotions, or skincare products that can irritate your skin. Opt for products labeled as "non-comedogenic" or "for sensitive skin."
3. Warm Compresses: Applying warm compresses to the sores can help reduce swelling and promote drainage.
4. Avoid Picking or Squeezing: Picking or squeezing the sores can lead to infection and scarring.
5. Wear Loose-Fitting Clothing: Tight clothing can irritate the skin and worsen the sores. Opt for loose-fitting, breathable fabrics.
6. Healthy Lifestyle: Maintain a healthy diet, stay hydrated, and manage stress, as these can all impact your skin health.
7. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Reasons to see a doctor more urgently include:

• If the sores become significantly more painful, swollen, or red, which could indicate an infection.
• If you develop a fever or feel generally unwell.
• If the sores do not improve with over-the-counter treatments or home care.
• If you notice any new or unusual symptoms.

Remember, while this advice can help you manage your symptoms, it's important to seek care from a healthcare professional for a formal diagnosis and appropriate treatment.