HomeAnswersDermatologyurticariaI had an itchy blister under my right breast a year ago, which came back today. What could it be?

What is the cause of a recurrent blister under my right breast?

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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 October 12, 2022
Reviewed AtApril 9, 2024

Patient's Query

Hi doctor,

I had an itchy blister under my right breast. I had the same thing happen a year ago, and the doctor gave me steroid cream and antibiotics, and it went away. I have used steroid cream this time, and it went away after three days. However, it came back again after a few days. Do I need antibiotics again, to use the cream for longer, or something else? What could it be? I am currently taking Levothyroxine and antibiotics. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern.

As per the history and image provided (attachments removed to protect the patient's identity), it appears as urticaria. Urticarial rashes may be due to hypersensitivity, where one's body immediately and excessively responds to an insect bite and other allergens, including medications, dust, changes in body temperature after a shower, due to exposure to sun or cold, due to food allergens, etc. They may appear on and off and may present life long, or may reduce in recurrence eventually for some individuals. They may even appear following an insect bite. I suggest using Mometasone (steroid) ointment on the affected area at night daily for two weeks. Take Tablet Cetirizine (anti-histamine) 10 mg one hour before sleep at night for one week. Please make sure not to drive or go out after consuming this tablet, as they may cause sedation to most individuals. Use Fucidin cream (Fusidic acid) once daily in the morning to prevent secondary infection following itching and due to the location of the lesion. Consult your doctor and take the medication accordingly. Urticarial lesions may be managed each time they appear with the above medications alone. Usually, antibiotics are not mandatory. However, they are prescribed to prevent secondary infections. Therefore, topical application of the same is more beneficial rather than oral intake of antibiotics. Kindly make sure to avoid any known allergens and, if possible, note down any particular allergen that, when used or consumed, may lead to the lesions being formed again. Stressful events and temperature changes may also be contributing factors; therefore, managing stress, if any, may be helpful.

I hope you find it helpful.

Thank you.

Patient's Query

Hi doctor,

How long will it take to go away? Please help.

Thank you.

Hello,

Welcome back to icliniq.com.

They would subside within two weeks. Kindly continue the medication for two weeks. Cetirizine (anti-histamine), however, may be used for one week alone.

Thank you.

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

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty

Venereology

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