[51M] With itchy red spots on neck and chin

Patient Description

A 51-year-old male presents with itchy, small, circular red spots on the neck and chin that have been worsening over the past 5 days. The spots have become more numerous and redder, with some associated swelling. No difficulty breathing or changes in voice have been reported. The condition is localized to the chin and throat without any known exposure to new skin products or substances. The patient has no known allergies, is not on any medications, and has no significant past medical history.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms 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 rash isn't contagious or life-threatening, but it can be very uncomfortable.

    • Treatment typically involves avoiding the irritants, applying anti-itch creams or taking oral antihistamines.
  • Atopic Dermatitis (Eczema): This is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Atopic dermatitis is long-lasting (chronic) and tends to flare periodically.

    • Treatment involves identifying and avoiding triggers, moisturizing the skin regularly, and sometimes using medicated creams or ointments.
  • 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 is aimed at stopping the skin cells from growing so quickly, which reduces inflammation and plaque formation.
  • Fungal Infection: Certain types of fungi can cause a rash on the skin, often characterized by red, itchy, circular spots.

    • Treatment typically involves antifungal creams or oral medications.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help:

  1. Avoid scratching the area as much as possible. This can cause further irritation and possible infection.
  2. Apply a moisturizer or over-the-counter hydrocortisone cream to the affected area to help soothe the itch.
  3. Avoid any potential irritants or allergens that could be causing or worsening the rash. This could include certain soaps, detergents, or fabrics.
  4. Make an appointment with a healthcare provider for an evaluation. They may refer you to a dermatologist, a doctor who specializes in skin conditions.

What you should look out for

Please seek immediate medical attention if:

  • The rash spreads rapidly or covers a large area of your body
  • You develop a fever
  • The rash becomes painful or starts oozing
  • You have difficulty breathing or swallowing

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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1 yr ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines

People Also Ask


What are the common causes of itchy, red spots on the skin?

Common causes of itchy, red spots on the skin include contact dermatitis, atopic dermatitis (eczema), psoriasis, and fungal infections. These conditions can be triggered by allergens, irritants, genetic factors, or infections.


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

Contact dermatitis often occurs after exposure to an irritant or allergen and is usually localized to the area of contact. A fungal infection may present as circular, red, and itchy spots and can spread if not treated. A healthcare provider can perform tests to differentiate between the two.


What are some effective treatments for managing itchy skin rashes?

Effective treatments for managing itchy skin rashes include avoiding known irritants, using moisturizers, applying over-the-counter hydrocortisone cream, and taking oral antihistamines. In some cases, prescription medications or antifungal treatments may be necessary.


When should I seek medical attention for a skin rash?

You should seek medical attention for a skin rash if it spreads rapidly, covers a large area, becomes painful or starts oozing, or if you develop a fever or have difficulty breathing or swallowing.


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