
What Does Itchy Rash On Shoulders Indicate?

A couple of days ago, this rash started appearing on my shoulders , more on the left side than the right, its itchy sometimes, but other than that it does not bother me. Please help I am very worried, what can it be ?
Pityrosporum Folliculitis
Detailed Answer:
Hello and welcome to healthcaremagic
I am Dr. Kakkar. I have gone through your query and I have understood it. I have looked at the pictures.
I would keep a possibility of pityrosporum folliculitis (caused by proliferation of yeast, Malasezzia furfur). Pityrosporum folliculitis is commonly seen in hot, humid weather conditions. Clinically it can be confused with acne except that Pityrosporum folliculitis ITCHES a lot unlike acne.
Pityrosporum folliculitis commonly involves trunk, chest and shoulders (all these areas are rich in sebaceous glands therefore providing an ideal environment for the yeast to feed upon). All these areas may or may not be involved simultaneously.
Oral Treatment:
I would suggest an oral antifungal e.g itraconazole 200mg once daily for a week OR oral fluconazole 150mg once every week for 4-6 weeks. Oral antifungals kill the yeast rapidly and bring about rapid relief.
Topical treatment:
You could also use a topical antifungal e.g ketoconazole cream, once daily
OR
Apply a 2% Ketoconazole shampoo over the affected area during bath, lather it well, leave on for 5 minutes, once daily
Hope this helps
Regards


Pityrosporum folliculitis
Detailed Answer:
Hi
Yes, itching is a symptom of Pityrosporum folliculitis. However, itching is a subjective thing, some may have intense itching and others not so much.
The photographs that you sent are classical of Pityrosporum folliculitis.
Take care


You are welcome
Detailed Answer:
Thanks for posting your concern at healthcaremagic
Regards


Pityrosporum folliculitis
Detailed Answer:
Hi.
Cetrizine would only provide symptomatic relief. You should take specific antifungal therapy for more complete relief.
Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
