[22F] With gradual onset of red bumps on multiple body areas

Patient Description

A 22-year-old female reports the gradual onset of red, pimple-like bumps over the past 5 to 7 days. These bumps are located on her arm, hand, groin, and leg. They are not filled with pus, and they are neither painful nor itchy. The bumps have been increasing in number over time. After the bumps resolve, they leave behind a flat, small breakout with skin discoloration. The patient has not experienced any fever or recent illness and has not been exposed to any new products, environments, or activities recently. However, her husband has been in contact with a coworker who had a staph infection, and she has been in close contact with her husband. The patient has no pre-existing conditions or chronic illnesses and is not taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for the red, pimple-like bumps on your and your son's bodies:

  1. Folliculitis: This is an infection of the hair follicles, often caused by bacteria such as Staphylococcus aureus. Given that someone at your husband's job had a staph infection, it's possible that you and your son may have contracted a mild form of this infection. Folliculitis typically presents as red bumps that can sometimes be itchy or painful, but not always.

  2. Contact Dermatitis: This is a skin reaction to an irritant or allergen. Although you mentioned no new exposures, sometimes the cause can be subtle or not immediately obvious. Contact dermatitis can cause red, pimple-like bumps that may or may not be itchy.

  3. Heat Rash (Miliaria): This occurs when sweat ducts become blocked and sweat gets trapped under the skin. It can cause red bumps and is more common in hot, humid conditions.

  4. Viral Exanthems: Some viral infections can cause a rash that appears as red bumps. These are usually accompanied by other symptoms like fever, which you have not experienced, making this less likely.

What you can do

For Folliculitis:

  • Hygiene: Keep the affected areas clean and dry. Wash with antibacterial soap and water.
  • Warm Compresses: Apply warm compresses to the affected areas to help reduce inflammation and promote drainage if any bumps become filled with pus.
  • Avoid Irritation: Wear loose-fitting clothing to avoid irritating the bumps further.
  • Topical Treatments: Over-the-counter antibiotic ointments like Neosporin can be applied to the affected areas.

For Contact Dermatitis:

  • Identify and Avoid Irritants: Try to identify any potential irritants or allergens and avoid them.
  • Moisturize: Use hypoallergenic moisturizers to keep the skin hydrated.
  • Topical Steroids: Over-the-counter hydrocortisone cream can help reduce inflammation and itching.

For Heat Rash:

  • Cool Down: Stay in a cool, dry environment and avoid excessive sweating.
  • Loose Clothing: Wear loose, breathable clothing to allow your skin to stay cool and dry.
  • Cool Baths: Take cool baths or showers to soothe the skin.

What you should look out for

Given the possibility of a staph infection, you should seek medical care if you notice any of the following:

  • Increased Redness or Swelling: If the area around the bumps becomes increasingly red, swollen, or warm to the touch.
  • Pus or Drainage: If the bumps start to fill with pus or begin to drain.
  • Fever: If you or your son develop a fever.
  • Pain: If the bumps become painful.

Remember, while I can provide some guidance, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider. If you have more questions or need further assistance, feel free to continue the conversation.

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5 mo ago

People Also Ask


What is folliculitis and how is it treated?

Folliculitis is an infection of the hair follicles, often caused by bacteria like Staphylococcus aureus. It presents as red bumps on the skin. Treatment includes keeping the area clean, using warm compresses, avoiding irritation, and applying over-the-counter antibiotic ointments.


Can contact dermatitis occur without exposure to new products or environments?

Yes, contact dermatitis can occur without obvious new exposures. It can be triggered by subtle irritants or allergens that may not be immediately apparent. Identifying and avoiding potential irritants, moisturizing, and using topical steroids can help manage symptoms.


What are the symptoms of a staph infection and when should I seek medical attention?

Symptoms of a staph infection include increased redness, swelling, warmth, pus or drainage from the bumps, fever, and pain. Seek medical attention if these symptoms develop, as they may indicate a more serious infection.


How can I differentiate between heat rash and other skin conditions?

Heat rash, or miliaria, typically occurs in hot, humid conditions and presents as red bumps due to blocked sweat ducts. It can be differentiated from other conditions by its association with heat and sweating, and it usually resolves by cooling the skin and avoiding excessive sweating.


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