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What Causes Eczema Like Formations On The Neck And Chest?
Question: I have eczema. I received a necklace for my birthday and when I wore it, I broke out in a rash on my chest and neck. My GP says it is an allergy to the nickel in the necklace. It went away for a while. Two weeks later it came back worse. My dermatologist says it is an outbreak of my eczema to be treated by cortisone cream. I have been doing that and it has not worked. The rash is really irritating and sometimes itchy. What else could it be? I am scheduled to go back to the dermatologist in two weeks.
Brief Answer:
Possibly eczema only, requiring oral corticosteroids along with cream, rule out dermatomyositis
Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic,
The skin rash you are experiencing is most likely to be eczema/dermatitis. Since topical steroids seem not to be helping, oral corticosteroids will be necessary.
Another important possibility that needs to be ruled out is Dermatomyositis. It can present with a rash in the sun-exposed area like chest and neck initially. In later stages, it can lead to muscle, joint pain and other symptoms.
Dermatomyositis can be differentiated from skin eczema by a blood test like EAR measurement and skin biopsy.
Please be advised to follow up with your dermatologist to discuss this possibility and necessary evaluation.
Meanwhile, please continue topical cortisone and apply sunscreen generously to the sun exposed areas.
Hope this answers your question
Please feel free to address any further questions here
Regards
Dr.Lekshmi
Possibly eczema only, requiring oral corticosteroids along with cream, rule out dermatomyositis
Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic,
The skin rash you are experiencing is most likely to be eczema/dermatitis. Since topical steroids seem not to be helping, oral corticosteroids will be necessary.
Another important possibility that needs to be ruled out is Dermatomyositis. It can present with a rash in the sun-exposed area like chest and neck initially. In later stages, it can lead to muscle, joint pain and other symptoms.
Dermatomyositis can be differentiated from skin eczema by a blood test like EAR measurement and skin biopsy.
Please be advised to follow up with your dermatologist to discuss this possibility and necessary evaluation.
Meanwhile, please continue topical cortisone and apply sunscreen generously to the sun exposed areas.
Hope this answers your question
Please feel free to address any further questions here
Regards
Dr.Lekshmi
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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