HomeAnswersDermatologypityriasis versicolorWhat are these small white, bumpy, itchy, and round dots on my neck?

How to get rid of small white, bumpy, itchy, and round dots on the neck?

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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. K. Shobana

Published At June 19, 2022
Reviewed AtSeptember 13, 2023

Patient's Query

Hi,

I have had small white dots on my neck for the past three months. These spots are bumpy and sometimes itchy. They are small and round, like the shape of small freckles. When I touch it, it is not smooth. What can it be?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern. Please answer a few questions. Do you have any drug history or drug allergies? Do you have a history of atopy or allergies? Do you have an issue with excess sweating? Are you diabetic? Have you ever had any fungal infections in the past? Do you scratch or rub the lesions? Is the lesion spreading? Did you get any fever? Do you have any insect bite history? Please answer the questions in detail for further assessment. Thank you.

Patient's Query

Hi,

I am a type 2 diabetic patient. I had no fungal infection in the past. This is the first time these spots have appeared. I do not have excessive sweating. I have no fever. I have no history of insect bites. I do not have any drug allergies. Sometimes these spot on the neck gets itchy, so I scratch them. Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern. It is a superficial fungal infection caused by Malassezia furfur species (Pityriasis Versicolor infection). I have these suggestions for you. Apply Ketoconazole cream twice daily in the morning and night for four weeks. Use Candid TV (Clotrimazole and Selenium Sulfide) lotion or Ketoconazole lotion 20 minutes before bath and after bath for 20 days. Use Ketoconazole soap for the bath for two months. You can take a tablet Levocetirizine 5 mg at night after food for two weeks. Take Tablet Fluconazole 400 mg only once immediately after food. Use Micogel (Miconazole) cream in the evening for four weeks. You must keep a check on your sugar levels. Keep sugar levels under control. You must avoid scratching and rubbing lesions. Also, keep your nails short. You must avoid activities that can cause sweating. You must wear loose, comfortable thin cotton clothes and avoid occlusion, friction, and direct sunlight. Thank you.

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

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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