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HomeAnswersDermatologycontact dermatitisI have frequent break outs in the collar bone area. Please help.

What can cause frequent break outs in the collar bone area?


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. Shanza Ikram

Medically reviewed by

iCliniq medical review team

Published At June 25, 2018
Reviewed AtMay 15, 2024

Patient's Query

Hello doctor,

I have had this issue on my collarbone where my skin constantly reacts and breaks out since high school. I would wear crew neck shirts to cover it. More recently I have controlled breakouts with a salicylic acid skin wash but it is more than breakout-prone skin. I also cannot wear necklaces because they create a weird rash. I never have a reaction to any other part of my body. There is also something odd about the pores in that area of skin. They are always raised and stretched-looking. I went to see a doctor in high school and she basically shamed me and said I was not cleaning the area properly. I am religious about cleaning it, and nothing works.

Answered by Dr. Shanza Ikram


Welcome to icliniq.com.

I have gone through your case. Well, there is nothing to be ashamed of and your problem has nothing to do with cleanliness. I do not know why your doctor has said so. Anyways be patient. You are having two problems. Contact dermatitis which is a type of allergy caused by something irritant comes into contact with your skin like your necklace. Many artificial jewelries have nickel which irritates skin. So best treatment is avoidance. I know it is difficult. The second treatment is steroid when you have a rash just apply one percent Hydrocortisone two times a day only for 3 to 5 days. But remember you are also having truncal acne which will get aggravated when steroids are used. So, please use the above-prescribed steroid when you have a rash. For acneform rash salicylic acid is good or apply Clindamycin gel two times a day on pimple-like lesions. Remember truncal acne is hard to treat and often gets exacerbation due to stress or periods.

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

Dr. Shanza Ikram
Dr. Shanza Ikram


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