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Suggest Treatment For Lump With Discharge On Scalp, Forehead And Neck

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Posted on Thu, 23 Jul 2015
Question: My 6 year old granddaughter has weeping bumps on her scalp, the forehead and the nape of her neck. She has them in her scalp as well and there are some new ones on her hand, leg and back they are so far just bumps.

Do you have any suggestions?
doctor
Answered by Dr. Dr. Pradeep Kumar Jain (33 minutes later)
Brief Answer:
I request you to attach an image

Detailed Answer:
Hello

Thanks for the query

Weeping bumps on scalp,forehead,nape of neck and now on hands can be impetigo (bacterial infection).
I would like to know
for how long these lesions are there?
Are there scales over the lesion?
Is it itchy or painful?

The other possibility is seborrheic dermatitis may be with secondary infection.

Topical and oral antibiotic will be needed in case of impetigo or secondary infection in seborrheic dermatitis.
Skin diseases Are better diagnosed by direct visualisation.

I request you to attach an image so that I better able to help you out.

Waiting for your reply.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Pradeep Kumar Jain (26 minutes later)
I think the bumps are appearing on her trunk and buttocks. Probably 5 more in the last hour. I tried to upload photos to reports.

She complained of an itchy scalp this morning upon waking and then about 7 hours later we noticed that there were more. There are not scales over lesions some look like blisters and other like bugbites. They are incredibly itchy but that is the only symptom as she does not have a rash.

I meant to say she does not have a fever (not rash).

Did you get my image or images? What do you think?
doctor
Answered by Dr. Dr. Pradeep Kumar Jain (3 hours later)
Brief Answer:
The lesions appear to be papular urticaria

Detailed Answer:
I am so sorry for delayed reply.Actually there was some network connectivity problem due to bad weather.

I have gone through the images.Although the images are not very clear.
Correlating all the findings like rapidly spreading papular itchy lesion over scalp,forehead,limbs and buttock and after going through the images I would like to rule out papular urticaria first.

The management is oral antiallergic like cetrizine and topical mild steroid like mometasone.

The common cause is hypersensitivity to insect bites,bug bites etc.
Regular use of insecticide and mosquito repellent helps in preventing the recurrence.

So I would suggest you to get him evaluated by a pediatrician to confirm the diagnosis and get a prescription for management.

Please do ask if you have any queries.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2073 Questions

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Suggest Treatment For Lump With Discharge On Scalp, Forehead And Neck

Brief Answer: I request you to attach an image Detailed Answer: Hello Thanks for the query Weeping bumps on scalp,forehead,nape of neck and now on hands can be impetigo (bacterial infection). I would like to know for how long these lesions are there? Are there scales over the lesion? Is it itchy or painful? The other possibility is seborrheic dermatitis may be with secondary infection. Topical and oral antibiotic will be needed in case of impetigo or secondary infection in seborrheic dermatitis. Skin diseases Are better diagnosed by direct visualisation. I request you to attach an image so that I better able to help you out. Waiting for your reply. Regards