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dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
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I have a rash under my left breast. It is a raised irritated

Customer Question

I have a rash under my left breast. It is a raised irritated rash. Red and inflamed. What could this be?
Submitted: 1 year ago.
Category: Dermatology
Expert:  dermdoc19 replied 1 year ago.

Thank you for asking your question. There are two main possibilities: 1) Candidiasis ( a yeast infection, especially if your breasts are pendulous. or 2) a contact dermatitis to your bra. I would try Clotrimazole cream first. Use twice a day.This would usually kill yeast. Be sure to use it a week after the rash is gone to prevent recurrence. If this does not work, try going braless as much as possible and apply Hydrocortisone ointment 1% twice a day.

Expert:  dermdoc19 replied 1 year ago.

If you care to send a picture, I would be happy to look at it and perhaps modify the above opinion.

Customer: replied 1 year ago.
i am concerned it could be shingles. Could I take doxycycline and valtrex together. I am also scared of IBC. It looks like the rash has sight lesions.
Expert:  dermdoc19 replied 1 year ago.

Shingles would be a possibility. Is it possible to send a picture. Yes, they can be taken together. The dosage for shingles is pretty high: 1 gram three times a day for a week.

Expert:  dermdoc19 replied 1 year ago.

Is IBC (inflammatory breast carcinoma)?

Customer: replied 1 year ago.
Inflammatory breast cancer. I just sent a picture to your phone number.
Expert:  dermdoc19 replied 1 year ago.

My phone number?

Customer: replied 1 year ago.
Customer: replied 1 year ago.
is that correct?
Expert:  dermdoc19 replied 1 year ago.

I don't know how that works...it might be Just Answer's phone number and they will forward it to me. Are there small pus or water bumps?

Expert:  dermdoc19 replied 1 year ago.

You said that the problem was under the breast and not on the breast itself.

Customer: replied 1 year ago.
How would you like me send this picture to you? Yes It looks like pus or water blisters.
Customer: replied 1 year ago.
under the breast
Expert:  dermdoc19 replied 1 year ago.

You send to***@******.*** and they forward it.

Expert:  dermdoc19 replied 1 year ago.

Are these lesions in a line?

Expert:  dermdoc19 replied 1 year ago.

Pain or itching?

Customer: replied 1 year ago.
just hot and itchy
Customer: replied 1 year ago.
I just emailed you the picture. lesions all over
Expert:  dermdoc19 replied 1 year ago.

Roughly how many?

Customer: replied 1 year ago.
10
Expert:  dermdoc19 replied 1 year ago.

This does seem like shingles. I would begin Valtrex.

Customer: replied 1 year ago.
My husband said there are not any water blisters. Did you see the picture?
Expert:  dermdoc19 replied 1 year ago.

I strongly doubt this is inflammatory breast disease.

Expert:  dermdoc19 replied 1 year ago.

Have not seen the picture.

Expert:  dermdoc19 replied 1 year ago.

You might contact customer support to be sure it shows up on the page.

Customer: replied 1 year ago.
I emailed it and sent it to the phone number
Customer: replied 1 year ago.
Can I send it to you directly.
Expert:  dermdoc19 replied 1 year ago.

You can, to***@******.***

Customer: replied 1 year ago.
i just emailed to you
Customer: replied 1 year ago.
I have put so much on the rash today. t tree oil, baking soda, hydrocortisone cream. Everything. I hope i didn't irritate it.
Expert:  dermdoc19 replied 1 year ago.

Received. This actually looks like we are back to square one: Candida or contact dermatitis. I favor the latter. A contact dermatitis can develop vesicles. It does not look like shingles.

Expert:  dermdoc19 replied 1 year ago.

Soe of that stuff might have been irritating I prefer Hydrocortisone ointment over the cream. Less ingredients and about twice as effective.

Customer: replied 1 year ago.
How do I treat this? I don't have to worry about IBC? Please say No.
Customer: replied 1 year ago.
hang on. I would like to get the creams i have and ask you which to use.
Expert:  dermdoc19 replied 1 year ago.

That is pretty rare. I would apply Hydrocortisone ointment 1% three times a day. The breast is occlusive so it should work better. If it does not work I would try Lotrimin Af cream. It really does not look like inflammatory breast carcinoma but if your rash does not resolve in three weeks or so, definitely consult a physician. You might need a stronger steroid or a KOH scraping which would determine whether you have a yeast infection there.

Customer: replied 1 year ago.
i used betamethasone diproprionate cream O.5% on the rash today. Maybe caused an irritation? I have Hydrocortizone cream 2.5% perscription. Is that okay to use on it?
Expert:  dermdoc19 replied 1 year ago.

Betamethasone cream is pretty strong. I would actually give it more time. Do not use more than two weeks.

Customer: replied 1 year ago.
I just had a mammogram in October and everything was good.
Expert:  dermdoc19 replied 1 year ago.

Good.

Customer: replied 1 year ago.
What do you think of me using the betamethasone cream on it today along with all the other things. Do you think that caused more of an irritation? I have Hydrocortisone 2.5% is that too strong?
Expert:  dermdoc19 replied 1 year ago.

I would use betamethasone cream for at least a week and see what direction it is going. If worse, it might be due to yeast. Steroids diminish the inflammatory response and allows yeast to thrive.

Customer: replied 1 year ago.
It cleared up this morning with Hydrcodisone cream then i applied betamethasone and it got worse. What could that be yeast?If it is a yeast infection would hydrcordisone cream clear it up?
Customer: replied 1 year ago.
What do you recommend i use hydrocortisone cream or clotrimazole?
Customer: replied 1 year ago.
If it is yeast will hydrcordsisone cream help?
Expert:  dermdoc19 replied 1 year ago.

No, it decreases the immune system. Only something that kills yeast will help. Clotrimazole is the best over the counter choice.

Customer: replied 1 year ago.
Are you leaning more toward a yeast infection?
Expert:  dermdoc19 replied 1 year ago.

I would give Hydrocortisone a days based on what you just told me.

Customer: replied 1 year ago.
Okay thank you. Is the 2.5% okay to use?
Expert:  dermdoc19 replied 1 year ago.

Yes, that would be fine.

Expert:  dermdoc19 replied 1 year ago.

I am glad you sent the picture.

Customer: replied 1 year ago.
If it is not better in the morning would you suggest i try the yeast cream?
Expert:  dermdoc19 replied 1 year ago.

No...definitely give it more time. Like 4-5 days.

Customer: replied 1 year ago.
I am too. Is it common for these rashes to get worse in a day? That is what happened today. It didn't start to look this way this morning. It was a small rash with a small lesion. As the day progressed it just got worse.
Expert:  dermdoc19 replied 1 year ago.

They can depending on exposure and other factors such as variation in absorption of the product. If it worsens for a few days, it is more likely yeast.

Customer: replied 1 year ago.
I did use many things on it today. Thank you so much for your help. I will apply my cream now.
Expert:  dermdoc19 replied 1 year ago.

Good. You are welcome. Please let me know if I can be of further assistance.

Expert:  dermdoc19 replied 1 year ago.

Hi again,

Are you able to give me any follow up?