Persistent Rash...???

[pistolizer29]

I got a rash (I'm not sure if rash is the right term) on my back in September which has slowly gotten worse, but has stopped spreading as of a couple of months ago, but is still there. Its on my back, mainly on my "back ribs" if that makes sense. When it first occured, it was itchy, particularly when I was in a hot, dry place, or when I would start sweating at the gym. A Dr. told me it was a fungus but I have since been to another Dr that told me this wasn't the case and he has referred me to a dermatoligist - appt in TWO MONTHS. The itching/prickly feeling has completely stopped, but these little bumps still remain. They're all about the same size (about 1mm around), and are generally skin colored. The area gets redder when I sweat or get hot. I play hockey and sweat alot during that but shower right after, so I'm not sure if this is making it remain or get worse?. When this first occurred, I was also getting pimple or "sore" type red marks on my bottom, on the cheeks. I find that I still get them occassionally, particularly when I sit for a prolonged period of time (I work at a desk job). When I stay off my butt they generally do not occur, they also look nothing like what I have on my back.

Any insight would be really appreciated!

[Rowena Santos, MD]

Hi,

Miliaria or sweat rash is a skin disease marked by small and itchy rashes. This is common  in hot and humid conditions, and occurs when the sweat gland ducts get plugged due to dead skin cells or bacteria. This leads to irritation, itching and to a rash of very small blisters, usually in the face, neck, skin folds,and areas of the body that may rub against clothing, such as the back, chest, or stomach. This can be prevented by avoiding activities that induce sweating,  wearing light clothing, frequent showering and in general, avoiding hot and humid weather.

Anti-bacterial soaps and ointments, anti-itch preparations such as calamine or menthol  based preparations may help reduce the severity of symptoms. If it persists, have this evaluated further by your doctor for proper management. Direct clinical examination is important in reaching a diagnosis. Take care and keep us posted.