[20M] Recurring boil on lower left leg

Patient Description

A 20-year-old male reports a recurring boil on the lower side of his left leg, present for about a month. The boil resembles a pimple, is pus-filled, and has slightly increased in size. It is accompanied by redness in the surrounding skin but not by fever or chills. The patient experiences discomfort when the boil is touched or scratched, and pressure reduction seems to alleviate the discomfort. There is no known history of fever, chills, or other systemic symptoms. The patient has had similar boils in the past but is currently not on any medication, has no known drug allergies, and has no chronic illnesses or conditions that could contribute to recurrent skin infections.

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Arora's Assessment

What might be happening

Based on the information you've provided, the recurring boil on your leg might be due to the following conditions:

  • Folliculitis: This is an infection of the hair follicles, the small pouches from which hairs grow. It can occur anywhere on the skin that has hair, including your leg. Folliculitis often appears as small, red, and sometimes pus-filled bumps. It can be caused by a variety of things like friction from clothing, blockage of the follicle, or bacterial infections.

    • Treatment typically involves topical antibiotics, warm compresses, and avoiding activities that cause friction on the affected area.
  • Hidradenitis Suppurativa: This is a chronic skin condition that features pea-sized to marble-sized lumps under the skin. They can be painful and may break open and drain foul-smelling pus. In many cases, tunnels connecting the lumps will form over time. Hidradenitis suppurativa tends to start after puberty, persist for years, and worsen over time.

    • Treatment often involves antibiotics, anti-inflammatory drugs, and sometimes surgery.
  • Staphylococcal Infections: These are infections caused by the bacteria Staphylococcus. They can cause skin infections and can manifest as boils, especially if there is a break in the skin, which allows the bacteria to enter. Recurrent staphylococcal infections can occur in otherwise healthy people, but can be more common in those with weakened immune systems.

    • Treatment typically involves antibiotics, and in some cases, the boil may need to be drained.

What you can do

While waiting for a consultation with a healthcare professional, here are some things you can do:

  1. Do not attempt to squeeze or pop the boil, as this can spread the infection.
  2. Apply a warm, wet washcloth to the boil for 20 to 30 minutes, 3 or 4 times a day. This can help bring the boil to a head, but it may take 1 to 2 weeks.
  3. Keep the area clean and avoid touching it unnecessarily.
  4. Wash your hands thoroughly after touching the boil.

What you should look out for

Please seek immediate medical attention if:

  • The boil doesn't drain
  • The boil is on your face, spine, groin, or rectum
  • You develop a fever
  • The area around the boil turns red or red streaks appear
  • The pain gets worse or the boil doesn't improve after a week
  • You have a heart murmur, diabetes, any problem with your immune system, or are using immune suppressing drugs (for example, corticosteroids or chemotherapy) and you develop a boil.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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11 mo ago

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People Also Ask


What causes boils to recur on the skin?

Recurring boils can be caused by bacterial infections, such as those from Staphylococcus bacteria, or conditions like folliculitis or hidradenitis suppurativa. Factors like friction, blocked hair follicles, or a weakened immune system can also contribute.


How can I prevent boils from forming in the future?

To prevent boils, maintain good personal hygiene, avoid sharing personal items like towels, wear loose-fitting clothing to reduce friction, and keep your skin clean and dry. If you have a history of recurrent boils, consult a healthcare provider for further advice.


When should I see a doctor for a boil?

You should see a doctor if the boil doesn't drain, is located on sensitive areas like the face or spine, you develop a fever, the surrounding area becomes red or streaky, the pain worsens, or if you have underlying health conditions like diabetes or a weakened immune system.


Are there any home remedies to help treat a boil?

Home remedies for treating a boil include applying a warm, wet washcloth to the area for 20 to 30 minutes several times a day to help it come to a head. Keep the area clean, avoid squeezing the boil, and wash your hands thoroughly after touching it.


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