HomeAnswersDermatologycystsWhy are there cyst-like bumps on my eyebrow?

I have cyst-like bumps and redness on my eyebrows. What could it be?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shama Naaz

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 23, 2021
Reviewed AtDecember 12, 2023

Patient's Query

Hi doctor,

I have an infection in my eyebrow, causing cyst-like bumps and redness. It was accompanied by dry skin and flakiness. It seems to come and go. It has been an ongoing issue for over a year now. This is the worst it has ever been, and I pretty much have no eyebrow, just red bumps instead. I have tried many different topical treatments with no luck. I was on Spironolactone for four months with no luck, and it actually seemed to make my skin worse. My dermatologist switched me Accutane, and I was on that for four months as well. And I thought the Accutane might make it go away, and it seemed to have no effect on it. The eyes seem to have excess skin growing and tend to go over the hair follicle. And it looks like my hair follicles are infected. It is a sensitive area and has minor itchiness. I never had this issue until I saw my dermatologist. She tried treating it with Hydrocortisone cream and even two Hydrocortisone shots in the eyebrow directly. Both made little to no difference.

Answered by Dr. Shama Naaz

Hi,

Welcome to icliniq.com.

Do you have a greasy scalp? Is there any pain over the area of hair loss? Do you get pus-filled lesions, and after that, you experience hair loss from your eyebrow?

Patient's Query

Hi doctor,

My scalp is not that greasy but does tend to be a little dry. I have no issues with the scalp, really. These bumps just tend to come and cause the build-up of skin, and the follicles seem to become inflamed. When my eyebrow hair does try to grow back, it seems to grow back thicker and sometimes with split ends. No pus seems to come out. If there is any fluid build-up, it must be clear. It just tends to flare up randomly, and sometimes it will subside a bit. But this is the worst it has been.

Answered by Dr. Shama Naaz

Hi,

Welcome back to icliniq.com.

There is an underlying infection over the eyebrow area since it is not responding to Accutane or Hydrocortisone. Hydrocortisone which is a type of mild grade steroid cream can worsen the underlying infection. You should apply Mupirocin 2% cream over the affected area for five days, and it will help to fight skin infection. Also, wash your face with a gentle cleanser like Cerave facial cleanser. Avoid skincare products containing active molecules like AHA, BHA, etc. Apply a hypoallergenic moisturizer over dry skin. Use skin care products that have the word “hypoallergenic “ written on their label and avoid if there is paraben or fragrance in its composition. Sometimes hair dye can cause an allergic reaction over the eyebrows, so make sure it is free from harmful chemicals like PPD or ammonia. Direct sunlight can also cause skin damage, so always wear a broad-spectrum sunscreen with an SPF of 30 or higher daily (30 minutes before going outside).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shama Naaz
Dr. Shama Naaz

Dermatology

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