HomeAnswersDermatologyfolliculitisWhat could cause bump and small pimples on shoulders?

I have a big bump and small pimples around the shoulder blade with no fever. Please help.

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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.

Medically reviewed by

Dr. Vinodhini J.

Published At July 4, 2020
Reviewed AtAugust 18, 2023

Patient's Query

Hello doctor,

I am having a big bump and small pimples around it on my shoulder blade. I do not know how to describe it. Please have a look at the picture. It is not spreading but slightly painful. Please help.

Hello,

Welcome to icliniq.com.

From your brief history and by seeing your attached photo (attachment removed to protect patient identity), it looks like folliculitis, that is an infection of the hair follicle. I also noticed a lot of black spots scattered on your upper back, are you used to having truncal/ body acne or pimples? You can follow these medications. Apply Fusidic acid or Mupirocin ointment twice daily after thorough cleaning of the area. Take Tablet Cefadroxil 500 mg twice daily for five days, Tablet Cetirizine 10 mg once in the night if itching present, take it for five days. Do warm compresses on the affected area once or twice daily. Review if associated fever rises or after five days with a photo. These medications should be taken only if there is no prior allergic reactions to it. Maintain hygiene of the area. Do not itch the area or try to pick it.

The Probable causes

The probable cause is truncal ance.

Differential diagnosis

The differential diagnosis are herpes zoster, truncal acne, and insect bite reaction.

Probable diagnosis

Folliculitis.

Patient's Query

Thank you doctor,

I am having body acne outbreak frequently. But this is somewhat new which I did not see any time earlier. I am not having a fever and my body temperature is 36.7.

Hello,

Welcome back to icliniq.com.

If there is no fever, body pain or tiredness associated, it is most certainly a folliculitis. There is no reason for panic. You can follow these medications.

Patient's Query

Thank you doctor,

There is no general body pain and tiredness but when I wake up my body feels heavy. Also, in underarm also there are some same eruptions. Please have a look at the picture.

Hi,

Welcome back to icliniq.com.

These underarm lesions look more of an insect bite reaction (attachment removed to protect patient identity). However, you can apply the same ointment and take antibiotics. If you develop a fever, then we can also think of chickenpox provided you have not got it earlier. But as long as no systemic symptoms are present, there is no need to worry. If there is pain, you can also take Paracetamol 500 mg once or twice daily.

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

Dr. Sneha Mariam Varghese
Dr. Sneha Mariam Varghese

Venereology

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