Ask a Dermatology Question, Get an Answer ASAP!
These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
Thank you for your question.
Is it possible to forward a photograph of the rash? You can do so by clicking on the paper clip icon and uploading. This does not work with Google Chrome or Safari. You can also use a photosharing site such as Picasa or Photobucket.
If you would like me to attempt an answer without a picture, please let me know.
I would like to ask a few questions. Are these bumps pus filled or just red? Are they grouped or scattered? How long have you had them? Do you have any medical problems?
This is most likely a superficial folliculitis. The most common cause is this is staph. The area becomes moist from sitting and then develops minor infections in the hair follicles. ( The entire body has hair follicles except the lips and palms and soles, and eyes). The fact that you have Type 2 diabetes predisposes you to this problem.
Also, if you are given steroids for asthma, this would predispose you to this.
My suggestion would be to cleanse the area with either HIbiclens Wash 4% ( rinse well, since if some remains on the skin it can be irritating) or Benzoyl Peroxide 10%. Then apply Bacitracin to the each bump. I would also perform a bleach bath twice a week.
Bleach baths are done by putting 1/2 cup of bleach in the bath for the last five minutes of the bath. Again, rinse off well.
If this does not work you may need an oral antibiotic such as a 10 day course of Cefdinir ( Omnicef) 300 mg. twice a day.
The other possibility is Candida. Diabetics and asthma patients are susceptible to this too. Generally, Diflucan is used 150 mg. twice a week for a month. You can try Micostatin which is over the counter. Use this twice a day. However, I would try the above measures for a superficial folliculitis first.
I would be happy to answer further questions if you have any.
You are welcome. The Hibiclens, Oxy 10 Wash, Bacitracin, and of course, bleach are all over the counter. Omnicef is a prescription product. Micostatin or Clotrimazole are over the counter. Diflucan is a prescription product.