How to manage flesh color bumps on my right thigh?

Question

Hello doctor,

I have flesh color bumps only on my right thigh. I noticed it several weeks ago, maybe months after being outside and getting sunburned. I thought it was heat rash but they have not gone away. It seems I have a few more now too. I am not constantly in the sun and when I am I usually wear long pants and rarely get sun on my legs. They do not itch, or hurt but I am concerned.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

It would be advised if you send me a photo of the lesions so that I can guide you better through this.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

I have seen the photo you have attached (attachment removed to protect patient identity), and it looks like cystic lesions that result from hair follicles that are clogged with sebum. Nothing to be panicked about.

Since it is not itchy, it is unlikely to be a heat rash. It will heal on its own over time, however, if you need medications you can use Tretin (vitamin A or retinol) (Retinoids) 0.025 % cream only at night, only over the lesion, provided you are not pregnant or on any photosensitive medications. Use the medication for two weeks and review it.

You can also put a moisturizing cream in the morning and afternoon as Tretin tends to dry out the skin in that area. Please apply sunscreen over the area as this medication can make skin photosensitive.

If no changes after applying the ointment are observed, please visit a dermatologist for an examination under a dermatoscopy microscope and if needed a skin biopsy.

If there is an enlargement of the lesion, bleeding, or ulceration please consult. As of now, seeing the lesion it is most likely to be cystic and would improve with this cream and there is no reason to worry.

I hope this helps.

Thank you and take care.

Regards.