I am having permanent rashes on neck. Why?

Question

Hello doctor,

I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen your query and concern.

Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity).

Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scabs looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery.

I hope this helps.

Thank you.