Hello
Thanks for posting your query at DoctorSpring.com
I can understand your concern.
I know you mentioned that the photos aren't top notch but I will still need a few clearer photos than this if possible.
I want to rule out what we call Vesiculobullous disorder where one gets blisters spontaneously. There are many varieties, a biopsy is needed to confirm the variety.
However, I need to see it clinically to be sure if I can call it that. Hence the need for a clearer picture before I confirm the diagnosis.
Feel free to discuss further,
Regards,
Patient replied :
Hi,
Thanks for your answer.
The blisters appear in a different place each time and the are usually only small.
I have attached another picture. Hopefully this one is clearer for you.
Thanks.
Hello,
Thanks for your reply.
From the picture, it does seem to be a bacterial infection. It's called furunculosis. It doesn't seem to be a heat rash. Since its recurrent it's muddy likely that you are harboring these bacteria in the body folds.
The treatment for it would be application of mupirocin cream twice a day for a week every month for six months in the body folds like underarms , groins, natal cleft , nostrils.
This will help to resolve the problem.
Feel free to discuss further,
Take care
Patient replied :
Hi,
I have googled furunculosis and from the pictures I have seen, even the minor cases, it looks nothing like it. There has never been a head that has formed or any sort of swelling.
It just looks like a small pimple that has been picked and has scabbed over.
I have attached some more pictures because it looks as though it is healing up. It usually begins to heal and then another one will pop up in a different place but still in the similar area of the body.
Hello,
Thanks for your reply.
I am sorry about that but on the photos it did look like furunculosis.
However, I had a look at the pictures again and another possible diagnosis could be
pityriasis rosea which is a viral infection. You could check out the pictures for that.
It's a viral infection affecting the skin. The course usually lasts for 4 to 6 weeks. It doesn't require any treatment and resolves spontaneously. So you should not worry.
I'll be glad to answer further queries,
Regards.
Patient replied :
Hi,
I can see how it could look similar to pityriasis rosea but after doing some research on this infection, I am still unsure if that is what it is.
There are no rashes on my body. There is probably a total of 5 red spots on my body, all about the size of a pea in different locations and are circular in size.
I have had these spots appearing over my body for the past 6-8 weeks. They appear and then become 'raw', scab and then disappear. At no point has my body been covered in any blisters or rashes. They are all localised.
The previous research I have come across on the internet about it is that it sounds similar to an extremely mild version of staph. The differences I am finding is that my spots never grow to a head, dont spread over the body as much and arent as big in size.
Thanks
Hello.
Thanks for your reply.
Furunculosis, which I mentioned earlier is what is caused by Staphylococcus.
The severity varies from person to person. I would recommend the application of Mupirocin cream as advised earlier. This should get rid of them.
Take care.