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dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4069
Experience:  30 years practice in general and cosmetic dermatology
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I have a rash on my back and shoulders. started as very

Customer Question

I have a rash on my back and shoulders. started as very small patches. Now it cover half of my back. it appears to be dry and pinky/red in colour. sometimes can look very red. other times not noticeable. it is very noticeable when tanning lotion is applied, (presumable due to the lotion being absorbed more due to the dryness)
Submitted: 1 year ago.
Category: Dermatology
Customer: replied 1 year ago.
it has not previously been itchy. usually i do not feel any different. But recently (past couple of weeks) it has started getting itchy sometimes
Expert:  Dr. Pravin replied 1 year ago.

Hello

Welcome and Thank you for your query posted.

My name is***** and being a Skin, Hair and Nail specialist I would be able to provide you with an appropriate solution to your concern.

Please note that my Goal is to provide you with an Excellent Service .

Before I answer your question I would like to get some more information:

Could you send me a photo of the condition at your convenience?

You can upload the photo on www.photobucket.com and send me the link

Other method of uploading photo or a file is:

1.Click the paperclip icon

2.Click the Browse icon

3.Click the Browse button

4.Select your file and click Open

5.Click OK

6.Click Insert

7.Click Save Changes on this page

Please note that the answer provided is for information purpose only and does not substitute a Doctor - Patient Consultation in Clinic

Customer: replied 1 year ago.
these photos are when the rash was very noticeable and red
Expert:  Dr. Pravin replied 1 year ago.

Thank you very much for the information provided.

Thank you very much for the photo image sent.

Do you have this more when you sweat or exposure to sunlight?

I observe that the central part of the back is spared from the photos. Is that the case even now?

Why is it that only the outer part of the back and shoulder is involved in a pattern? Is it something that you wear that sticks along the outer aspect of the back and shoulders like a strap?

Do you wear any sportswear ( synthetic ) ?

Customer: replied 1 year ago.
The central part of the back is usually clear. even when the rash was only in random small patches. (there are also random very small patches on my abdomen)
I don't think I have it more when I sweat or have exposure to sunlight. And i do not wear anything which would cause a pattern such as this.
I do wear synthetic clothing (dancewear)
Expert:  Dr. Pravin replied 1 year ago.

THANK YOU VERY MUCH FOR YOUR REPLY.

Is the dance wear more of a ballet dance wear that gets occluded on the shoulders and the flanks and outer aspects of the back and sticks to the abdomen?

Suppose if you have a very intense dance hour , post that does it increase ?

Do they scale?

Expert:  Dr. Pravin replied 1 year ago.

Hello

I am awaiting your response.
I would be happy to assist you .

Regards

Dr Pravin

Please do get back to me so I can help you . Thanks .

Customer: replied 1 year ago.
The dancewear isn't like ballet clothing usually the dancewear is a full, long sleeved top. (i have attached a picture of a typical dance top)
After a dance session it does not seem to get worse.
The only thing link I can think of is maybe stress. I think it may get worse when I am very stressed. Usually any changes will happen overnight and if it is worse or better I will notice the next morning
Customer: replied 1 year ago.
attached photo
Expert:  Dr. Pravin replied 1 year ago.

Thank you very much for attaching the photo of the dress . It does look like it may be contributing to this as this kind of dress does stick on the areas affected whenever one dances or sweats.

However , stress can also be a trigger factor.

Do these areas scale or shed any skin scales?

Customer: replied 1 year ago.
these areas are very slightly raised and dry. However they don't really shed as such.
Expert:  Dr. Pravin replied 1 year ago.

And you can confirm it is only on the trunk and not on the face , ears , thigh or anywhere else? hands/ legs/ palms/soles?

Customer: replied 1 year ago.
none on any outer limbs or extremities. none on my bottom or thighs (even though I would also wear shorts and skirts made of the same dancewear material
Expert:  Dr. Pravin replied 1 year ago.

Yes , this can be only two conditions:

1. Allergic contact dermatitis aggravated by stress and sweat

2. Presence of a Virus causing this Pityriasis Rosea like condition.

The treatment for both would involve application of a mild topical Cortaid lotion on the areas affected once daily at night .

Use of a Cetaphil moisturizing lotion on the area in the morning daily after bath .

Avoiding any fragrance related products on the body ?

try to use plain cotton loose garment during dance for 10 days .

Taking a prescription medication called Erythromycin twice a day for 5 days .

Please do get back to me in case of any further queries.

Customer: replied 1 year ago.
just an extra note that I previously tried a topical steroid cream and it seemed to help but only for a few days then it didn't have any effect. (This was when the rash was much smaller ( around 6 months ago)
Expert:  Dr. Pravin replied 1 year ago.

Yes , it would help locally , but at the root level you may need an anti histamine called Claritine over the counter once daily at night fo 10 days and would need to take Erythromycin course for 5 days or more.

And would also need to stop wearing that top and see if it works.

Do try this as these are the only two possibilities for your rash

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