What Causes Cluster Of Red Colored Bumps On The Mid Line?
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Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic
I have gone through your query and I have also seen the photograph. I can see a cluster/group of red coloured bumps in the mid-line. I can't make out any vesicles.
Full blown shingles usually presents with grouped, discrete, fluid filled lesions usually arranged in a stripe like pattern on one side of the body. Early lesions may be just red coloured bumps and later on become fluid filled. It is usually accompanied by pain, burning or tingling or sensitivity to touch.
I would like to gather more information from you in order to be able to guide you better.
-Let me know the duration since you noticed the rash?
-Do you have any symptoms like burning/pain/tingling? Or is it itchy?
-Have you had shingles before?
-This photograph is a little blurred. Can you upload a better photograph?
Regards
Seems more like a fungal infection
Detailed Answer:
Hi.
Thanks for the additional information and photograph. I would rather keep a possibility of a fungal infection. Fungal infection can begin as small bumps which may later may spread on to the surrounding skin. Itching is a feature of fungal infection. Shingles on the other hand usually has a burning sensation or painful sensation associated with it.
Has it stayed the same way since you noticed or has it improved or deteriorated?
Cortisone probably burned because you might have scratched it vigorously and made it raw.
I would rather suggest that you try an OTC topical antifungal e.g clotrimazole 1% cream, twice daily for 2 weeks.
An OTC oral antihistamine e,g cetrizine 10 mg once daily would provide you symptomatic relief from itching.
Regards
details below
Detailed Answer:
Hi.
I think you should apply an OTC topical anifungal e.g clotrimazole 1% cream, twice daily rather than cortisone.
Cortisone being a steroid, although would decrease itching and redness but that is only because of its antiinflammatory action. Otherwise it does'nt have any role in fungal infection.
I agree with your spine specialist, Even I think that the facial symptoms are nerve related. If I was the treating doctor I would have suggested you an oral Vitamin B 12 supplement in mega doses (750 to 1500 mcg per day) and if that also seems insufficient I would have added gabapentin to it. Both of these are helpful in neuralgic pain of varied etiology e.g herpes zoster associated neuralgic, diabetes, peripheral neuropathy etc
However, you must also inquire about these from your neurologist before trying
Regards
You are welcome
Detailed Answer:
Thanks for appreciating. Sure, I will be glad to help you in future as well.
You can contact me directly: http://doctor.healthcaremagic.com/doctors/dr-kakkar-s/66939
Regards