Doctors Lounge - Dermatology Answers
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Forum Name: Dermatology Topics
Question: neck rash/swellen area
|isabella27 - Wed Jan 03, 2007 7:03 pm||
I am a 41 y/o female. Good health, only one c section 15 yrs ago. Family Hx of hypertension, ovarian cancer and lung cancer(smoker). I started having a look a like rash and some bumps, like blisters in the trapece and chest area. My chest look like flushed, reddish and I thought it was an allergy. I apllied Calamine and the blisters will dried and then few days later will come back. I developed a pouch next to my neck supraclavicular. Went to dr. He sent me for a Ct of the neck and chest no contrast. Cy came back Normal. No lymph node, no mass, no fluid. Pumorary view was normal. No malignecies found. The doctor told me I have a fatty deposit, and if I loose weight and fat from my body the pouch will go way. I have seen people overweight and they don't have a pouch like this one. Something is not right. However, I have that pouch like a hump. I checked for Madelung disease but I don't drink and I am not diabetic. I weight 150 lbs and I am 5'7"
|Dr. Chan Lowe - Mon Mar 12, 2007 10:09 pm||
Your rash sounds a little like shingles, especially given the blister-like appearance. Generally shingles is quite painful, however. Other possibilities include a bacterial skin infection or viral rash.
Your "pouch" has me a little puzzled. If the CT scan saw nothing it may be a fat collection. However, I would think this should show up on CT scan. One thought is a disorder called Cushing's syndrome (hypercortisolism). This can cause a "buffalo hump" appearance. Generally the hump is located on the back just below the neck, not along the supraclavicular area. Perhaps you have a lipoma, a small fat cell tumor that is not cancerous and is not related to weight. If this is the diagnosis, they are harmless but can become painful or unsightly and can be removed surgically.
Follow up with your doctor is important.
Hope this helps.
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