Dermatitis, Fungus, Swollen Node, Stress

I have what I believe is a mild case of Seborrhoeic dermatitis on the right side of my nose (it looks just like the picture on the wikipedia page), and have had this for a couple weeks. Also, a couple of years ago, my ENT, mentioned that he noticed eczma (eczema) inside my ears for which he proscribed a cream (I have constant itching inside). I also have what I believe to be Tinea versicolor on my back and under my breasts. This is ongoing and I have had recurrences of this for about 10 years.  It started just a few dots under my breasts, but in the past couple years I am now getting it all over my back.  I have been treating with a 1% anti-fungal cream and it goes away for about week, but always comes back.  This week I noticed what I believe to be a swollen Suboccipital lymph node on the right side (back of neck). I notice no dandruff or other scalp/itching issues, but do have one large pimple at the base of my hairline that I noticed the other day.  I have slightly more post-nasal drip than normal and have been more tired than usual, but otherwise feel fine (no fever or cold symptoms). I have been extremely stressed lately, and have had a lot of anxiety, evidenced because I am chewing the inside of my mouth and clenching my teeth.  From what I have read so far, it would seem all of these symptoms are probably related, and stress is likely the root cause.

How long should I wait before seeing my primary?  Do I even need to pay him a visit?  If I do, should I ask him for a referral to a specialist/dermatologist.  My primary is a very thorough and kind doctor, I just don't want to wast his time if these things will clear up on their own.

[Bhupinder Kaur, MD]

Hello,
From the symptoms it can be folliculitis, boils or a cyst. This may be the cause of the swollen lymph node also. Keep the area clean and apply some topical antiseptics. Also wear loose-fitting cotton clothing and use an antibacterial soap or mild soap like dove. Avoid any kind of cosmetics. Topical antibiotics such as mupirocin or neomycin containing ointment are also useful. In case the symptoms persist then oral antibiotics may be needed.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.