[19M] Concerned about a red, irritated skin lesion on upper thigh

Patient Description

A 19-year-old male presents with a red, irritated skin lesion on his upper inner thigh, approximately the size of a golf ball. The lesion has some broken skin and flaking, but is not painful except when rubbed, similar to a rash. The discomfort was notably increased after a hot shower, which is also when the patient first became aware of the lesion a few days ago. There is no discharge or fluid, fever, or swollen glands reported. The patient has a history of acne but no other chronic illnesses or pre-existing conditions. No other symptoms have been noted in association with the skin lesion.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your skin lesion include:

  • Contact Dermatitis: This is a type of skin inflammation that occurs when substances touching your skin cause irritation or an allergic reaction. The red, itchy, and flaky skin can be a reaction to many substances.

    • Treatment typically includes topical creams, avoiding the irritant, and in severe cases, oral medications.
  • Fungal Infection (Jock Itch): This is a fungal infection that causes a red and itchy rash in warm and moist areas of the body. The inner thighs are a common area for this to occur.

    • Treatment typically includes antifungal creams, powders, or pills.
  • Psoriasis: This is a skin disease that causes red, itchy scaly patches, most commonly on the knees, elbows, trunk, and scalp. Psoriasis is a chronic disease that often comes and goes.

    • Treatment typically includes topical creams, light therapy, and in severe cases, oral or injected medications.
  • Eczema: This is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long-lasting and tends to flare periodically.

    • Treatment typically includes moisturizing lotions, creams, and ointments, as well as corticosteroid creams and, in severe cases, oral medications.

Please remember that these are only possibilities and a physical examination by a healthcare provider is necessary to make a definitive diagnosis.

What you can do

While waiting for your appointment with a healthcare provider, here are some general measures you can take:

  1. Avoid scratching the area as it can lead to further irritation or even infection.
  2. Keep the area clean and dry.
  3. Avoid any new products or clothes that may have triggered the rash.
  4. Over-the-counter creams and ointments may provide some relief, but it's important to get a proper diagnosis.

What you should look out for

You should seek immediate medical attention if:

  • The rash spreads or worsens
  • You develop a fever
  • The area becomes increasingly painful
  • The area starts to drain pus or other fluids

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of red, irritated skin lesions on the inner thigh?

Common causes of red, irritated skin lesions on the inner thigh include contact dermatitis, fungal infections like jock itch, psoriasis, and eczema. Each condition has distinct characteristics and may require different treatments.


How can I differentiate between a fungal infection and contact dermatitis?

Fungal infections like jock itch often present as a red, itchy rash in warm, moist areas and may have a distinct border. Contact dermatitis usually occurs after exposure to an irritant or allergen and can appear as red, itchy, and flaky skin. A healthcare provider can help differentiate between the two.


What are some effective over-the-counter treatments for skin rashes?

Effective over-the-counter treatments for skin rashes include hydrocortisone cream for inflammation, antifungal creams for fungal infections, and moisturizing lotions for dry, itchy skin. It's important to follow the instructions on the packaging and consult a healthcare provider if symptoms persist.


When should I seek medical attention for a skin lesion?

You should seek medical attention for a skin lesion if it spreads or worsens, if you develop a fever, if the area becomes increasingly painful, or if it starts to drain pus or other fluids. These could be signs of an infection or a more serious condition.


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