Brief Answer:
A photo of cyst is needed

Detailed Answer:
Hi my dear,

I understand your concern.

Yes, hottube has lots of bacteria especially when hygienic measures aren't taken rigorously.

However, as you have colorless skin eruptions or cysts, I need to have a look at them myself. Can you please send a photo of them to me?

Can you also say if they are itchy? painful or any other symptoms?

Can upload or attach at following email address:

YYYY@YYYY

with subject line:"Attn. to Dr.Albana Sejdini"

Thank you.

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Brief Answer:
Watchful waiting strategy for the moment...

Detailed Answer:
Hi back,

Ok, then, usually when using hottubes, the risk for infection is high especially if people who use it are not family members.

The colorless bumps could be due to hottubes or any viral/bacterial infection when being in hottube. It could be better to have a look at them; however, if you were not able to send the photos in, no worries. The email is

YYYY@YYYY

my patients have succeeded to send the reports/photos in. Please try again hoping you will too.


I advise to:
- keep good hygiene of the skin, keep bathing regularly every day
- change shower cream/gel if there would be any difference

for a few more days. If they won'd disappear, or your wife will get others or any other symptom, should consult with dermatologist as soon as possible or go to ER.

All the best!

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Brief Answer:
Lymphadenopathy to be further evaluated

Detailed Answer:
Hi back,

From what I have noted in the pictures, they seem to be swollen lymph nodes (lymphadenopathy).

She needs immediate clinical evaluation and further blood tests to determine the right diagnosis.

Please schedule an appointment with dermatologist first and then with hematologist.

Hope this helps.
Dr.Albana

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