Duration: I have been dealing with this skin condition for about a year.
Location: The lesions are mainly on my arms, chest/breast area, abdomen, and underarms. More recently, I have also noticed lesions in my genital area.
Timeline: They usually start as small bumps and sometimes become larger and firmer. Some develop openings and release a white or yellow, thick, paste-like substance. Sometimes it looks like a tiny white pearl or a grain of rice. After the material comes out, the lesions can refill and become larger again.
Symptoms: Most of the lesions are not itchy, and many are not painful. Some feel firm underneath, and they can become firm again after the contents are released.
Treatments tried: I have tried intralesional corticosteroid injections, CO2 laser, 20% azelaic acid, and salicylic acid. I have also taken several courses of antibiotics. Corticosteroid injections initially helped some lesions significantly, but a few eventually returned.
Relevant medical background: My dermatologist has considered hidradenitis suppurativa (HS), possibly stage 2, but I do not have a confirmed diagnosis. I also had a punch biopsy of a lesion on my arm. The pathology report mentioned excoriation, although I had not scratched the lesion.
My questions: Has anyone experienced something similar? Could these lesions be related to keratin plugs, skin cysts, or hidradenitis suppurativa? I would really appreciate hearing about your experiences or any thoughts you might have about what this could be.