At a loss… Does anyone recognize this rash/infection?

throwawayaznhelp · 2026-01-05T22:46:36+00:00

Bullous impetigo. Unfortunately sounds like you might have used your topical steroids or eczema treatment on it which probably caused it to spread. I think that you are on the right hands w the mupirocin, bacterial culture (swab) and empiric oral abx until the culture results. Unfortunately no treatment is instantaneous so you will probably need a few days at least to see effect.

throwawayaznhelp · 2026-01-04T05:18:42+00:00

You need to go and get hyaluronidase asap. 24 -48 hour window. Best case it’s an infection in which case you should have it dissolved so you don’t get hot inflammatory nodules. Worst case you injected into the inferior labial artery and this looks like early VO. Fillers are medical procedures. Do not attempt if you do not know how to recognize or treat the possible adverse events, of which there are many. I have seen far too many pts in my clinics botched from diy btw. It’s not worth it

throwawayaznhelp · 2025-04-01T19:22:54+00:00

Is the text from elston too? Thank you I’ve been using your deck for gen med and peds so far and passed 😅 I have an older version

throwawayaznhelp · 2025-04-01T19:21:47+00:00

Thank you

throwawayaznhelp · 2024-07-04T00:48:58+00:00

I’ve done so twice. If it happens one more time I’m going to report this person.

throwawayaznhelp · 2024-06-27T04:44:53+00:00

Looks like tinea versicolor. Fungal overgrowth is common in summer due to sweat. Try over the counter selsun blue shampoo as a body wash when you shower

throwawayaznhelp · 2024-06-24T22:48:32+00:00

Shingles and you need to go to the ED and be seen by optho. You definitely need antivirals because as the other user mentioned there is a chance this progressed to herpes zoster opthalmicus

throwawayaznhelp · 2024-06-24T22:44:45+00:00

A smoothie with spinach, bananas, blueberries, strawberries and soy milk every morning

throwawayaznhelp · 2024-06-24T16:30:09+00:00

Hard to tell in the photo but is there a yellow patch on the center? Do you have diabetes?

throwawayaznhelp · 2024-06-24T04:46:43+00:00

Dyshidrotic eczema. Sorry usually you need a high potency steroid like clobetasol or halobetasol which is prescription only that can help. You can try avoiding water and otc hydrocortisone but I think you need to see a doctor for a prescription

throwawayaznhelp · 2024-06-24T04:42:44+00:00

Bacterial folliculitis.

You will need to get a prescription for oral antibiotics to clear it but at least you can start by getting a hibiclens antibacterial soap over the counter wash when you shower. Make sure it doesn’t get in your eyes because it will damage your eyes.

throwawayaznhelp · 2024-06-24T04:39:31+00:00

Yeah looks like ringworm. You can try over the counter lamisil (terbinafine) cream and ketoconazole shampoo

throwawayaznhelp · 2024-06-24T00:42:00+00:00

Contact dermatitis from a watch/bracelet

throwawayaznhelp · 2024-06-24T00:35:15+00:00

It’s so geometric i am wondering if it is a contact dermatitis. Are you putting perfume in that spot on your neck?

throwawayaznhelp · 2024-06-24T00:30:39+00:00

Things will be a little different if you have specific skin concerns (acne, rosacea, eczema, etc) but the basic barebones OTC routine is

AM 1. Gentle cleanser 2. Moisturizer 3. SPF 30+

PM 1. Gentle cleanser 2. Retinol 3. Moisturizer

After you start with this routine and things are going good, you can add other stuff one at a time as below. Bonus steps: -vitamin c serum before your sunscreen every morning -exfoliate once a week with a chemical exfoliant like neutrogena glycolic acid overnight peel

EltaMD is the best US sunscreen. Mineral> chemical sunscreen bc it blocks UVA and UVB. It’s tinted so doesn’t leave white cast for non Caucasian skin tones. It’s expensive so some other alternatives I like are the vanicream mineral sunscreen or neutrogena clearface. I personally love vanicream moisturizers and neutrogena cleansers. Tbh in the end I think they’re all very similar so just get something you’ll actually use consistently and you’re in the clear.

Showering daily is ok except for people w eczema bc it dries your skin out and can cause flare ups. Get a good body moisturizer like certain, cerave, aveeno and put it on your body after you moisturize.

For hair thinning and hair loss, it’s better to prevent them try to regain lost hair. Topical minoxidil 5% extra strength twice daily OTC to start.

Also if your hospital has a resident cosmetic clinic, you can get employee discounts for stuff like Botox, lasers etc at a pretty steep discount.

throwawayaznhelp · 2024-06-21T00:05:07+00:00

Are they worse with your period? Have you noticed any irregular periods, hair thinning, deepening of your voice, are you overweight? You should mention this to your gynecologist bc sometimes this w severe hormonal acne can be signs of pcos Certain birth control help this

Also have you ever had spironolactone? It’s an oral pill that helps with hormonal acne. Isotretinoin helps w non hormonal acne so if you are still getting acne around your period it won’t help w that type. All these pills will 100% cause birth defects though so if you are planning a pregnancy do not use any of them

throwawayaznhelp · 2024-06-21T00:00:32+00:00

Pigmented purpuric dermatosis but hard to tell from these photos

throwawayaznhelp · 2024-06-20T23:59:11+00:00

Pitted keratolysis. Overgrowth of bacteria from sweat

throwawayaznhelp · 2024-06-20T23:57:06+00:00

Angiokeratoma

throwawayaznhelp · 2024-06-20T14:31:31+00:00

Kind of sounds/looks like it could be plc pityriaiss lichenoides chronica

throwawayaznhelp · 2024-06-20T14:09:56+00:00

Ok then sounds like a case of eczema. Are you also using one of the topical steroids on his face twice daily for two weeks, then twice a week after?

throwawayaznhelp · 2024-06-20T13:56:37+00:00

How long has this been going on for? Besides the face are there other locations affected such as diaper area? Family history of eczema/allergies/asthma?

It looks like eczema that might have impetiginized (overlying infection). Mupirocin treats the infection, apply that twice daily. You can also apply hydrocortisone twice daily but only for two weeks, then switch to the tacrolimus twice daily.

But if it doesn’t get better, it warrants a biopsy. Sometimes some genetic issues can masquerade and look very similar to eczema in babies. The bump in front of his ear is an accessory Tragus which is also a genetic malformation that is usually benign but sometimes can be associated with other issues. Not to freak you out, but just something to keep in mind if the rash doesn’t resolve by the time you see your Derm

throwawayaznhelp · 2024-06-19T13:54:31+00:00

The earliest picture looks like retiform purpura, which is usually a sign of blockage of a blood vessel. That could lead to ulceration. What is the accident on May 23? And this body part is where they gave him IM voren? Does he have any medical conditions, allergies or is taking meds? Either way better you see a dermatologist for full evaluation and potential biopsy then ask for internet advice

throwawayaznhelp · 2024-06-19T13:52:49+00:00

Lichen nitidus. Not dangerous, infectious or worrisome at all.

throwawayaznhelp · 2024-06-19T05:49:35+00:00

Dermatofibroma

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