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Basal Cell Carcinoma accompanied by a larger rash
Doctor,
About 4-5 months ago I began to notice a prominent rash across my forehead that seemed to cycle through a breaking out, itching and, slight pealing process. The rash changed it’s look but in general was red across most of my forehead with various raised bumps. Located within that confines of that rash was an obvious larger bump about the circumference of an eraser head that subsequently turned out to be a BCC (nodular type). The bump had been there before the larger rash appeared although I had ignored it.
I originally went to the dermatologist seeking treatment for the rash when he observed the BCC. He believed the rash was unrelated but wanted to clear it up before taking a biopsy and prescribed Triamcinlone Acetonide 0.1% . After a few weeks the rash (excluding the BCC) mostly cleared up while taking the medication and a biopsy was performed confirming the BCC. Now I am awaiting Mohs surgery for the BCC and have stopped taking the medication in preparation for the surgery. The larger rash has returned and seems worse. It responds within a few days when I begin to re-apply the cream but I am suppose to stop taking it 10 days before the surgery.
My questions are:
1) Is it possible that the two (BCC and larger rash) are related? The rash does not seem to be spreading but it is unnerving knowing that located inside it was a BCC. Have you ever seen a BCC accompanied by a secondary rash?
2) Will the presence of the rash effect the Moh’s surgery?
3) Assuming they are truly unrelated what is the typical courses of treatment for a rash like this? I assume the Triamcinlone Acetonide is only a temporary solution?
About 4-5 months ago I began to notice a prominent rash across my forehead that seemed to cycle through a breaking out, itching and, slight pealing process. The rash changed it’s look but in general was red across most of my forehead with various raised bumps. Located within that confines of that rash was an obvious larger bump about the circumference of an eraser head that subsequently turned out to be a BCC (nodular type). The bump had been there before the larger rash appeared although I had ignored it.
I originally went to the dermatologist seeking treatment for the rash when he observed the BCC. He believed the rash was unrelated but wanted to clear it up before taking a biopsy and prescribed Triamcinlone Acetonide 0.1% . After a few weeks the rash (excluding the BCC) mostly cleared up while taking the medication and a biopsy was performed confirming the BCC. Now I am awaiting Mohs surgery for the BCC and have stopped taking the medication in preparation for the surgery. The larger rash has returned and seems worse. It responds within a few days when I begin to re-apply the cream but I am suppose to stop taking it 10 days before the surgery.
My questions are:
1) Is it possible that the two (BCC and larger rash) are related? The rash does not seem to be spreading but it is unnerving knowing that located inside it was a BCC. Have you ever seen a BCC accompanied by a secondary rash?
2) Will the presence of the rash effect the Moh’s surgery?
3) Assuming they are truly unrelated what is the typical courses of treatment for a rash like this? I assume the Triamcinlone Acetonide is only a temporary solution?
around fathers day i went to open the door on our vehicle and felt a small pain on my finger beside the thumb. it was on the top inside just below the first joint. the only thing i noticed was a small red dot under the skin, which i have had before that do away quite fast. (if you press on them they disappear and it you let go they reappear.) anyway, back to the main reason i am writing. this became larger and larger and began to bleed at times, especially it it was hit. i even visited the hospital to stop the bleeding at one time. they referred me to a surgeon which i did see. he removed and sent it off for testing of cancer. nothing came back abnormal. however, it has been appprox 10 days and is back again larger than ever. twice as big as an eraser and very painful. any sugggestions to what it could be and how treat it. trust me, compound w does not work as i found out for myself and was also told by several md's that looked at it in the hospital and my surgeon that is was not a wart. please help!
MEDICAL PROFESSIONAL
1) Is it possible that the two (BCC and larger rash) are related? The rash does not seem to be spreading but it is unnerving knowing that located inside it was a BCC. Have you ever seen a BCC accompanied by a secondary rash?
No, I can't think of any connection. It sounds like you have two separate things: a basal call and eczema.
2) Will the presence of the rash effect the Moh’s surgery?
It shouldn't. But I would check to see why they want you to stop the cream 10 days before surgery. I can't think of any reason why you should have to do that, and I'm concerned that if the eczema flares up, they won't want to operate because the kin looks inflamed. Please check this with the surgeon and dermatologist.
3) Assuming they are truly unrelated what is the typical courses of treatment for a rash like this? I assume the Triamcinlone Acetonide is only a temporary solution?
Eczema comes and goes. You treat it when it's there and ignore it when it isn't. Triamcinolone may be a bit too strong for chronic use on the face. Please ask your dermatologist for a recommendation for a cream for ongoing use.
Take care.
Dr. Rockoff
No, I can't think of any connection. It sounds like you have two separate things: a basal call and eczema.
2) Will the presence of the rash effect the Moh’s surgery?
It shouldn't. But I would check to see why they want you to stop the cream 10 days before surgery. I can't think of any reason why you should have to do that, and I'm concerned that if the eczema flares up, they won't want to operate because the kin looks inflamed. Please check this with the surgeon and dermatologist.
3) Assuming they are truly unrelated what is the typical courses of treatment for a rash like this? I assume the Triamcinlone Acetonide is only a temporary solution?
Eczema comes and goes. You treat it when it's there and ignore it when it isn't. Triamcinolone may be a bit too strong for chronic use on the face. Please ask your dermatologist for a recommendation for a cream for ongoing use.
Take care.
Dr. Rockoff
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