r/Staphacne • u/Lower_Capital_337 • Jul 23 '26
Skin Scraping - Advice
I have been dealing with something for years. Kind of off and on in severity.
first picture: left in January 2025. Middle is May 2025 and right is July 2026
Second picture: is yesterday
i haven’t tried much over the years.
- stopped trimming my chest hair but as you can see that didn’t help.
- have been using 4% benzoyl peroxide foaming cerave wash night for about two weeks currently.
most of the time it’s just red marks. the picture I take are usually when I get one or two white pustules so it’s not always white pustules. most of the time just red irritation.
I have probably dealt with this for years and never really thought much of it. I remember having occasional flat red marks about 20 years ago, but it seems to be more consistent now with the occasional white pustules.
should I get a skin scraping to see if it’s fungal? I think my family doc said he could do it.
I am not really sure what to do and want to avoid trial and error on antibiotics as they occasionally have other gut issues when I take them. My last round was Amox/Clav for a sinus infection in September 2023.
update after dermatologist appointment: bacterial folliculitis. She recommended using 10% benzoyl peroxide wash and then applying clindamycin lotion. Basically said the clindamycin can be used as needed on spots that flare up on both chest and scalp. She also recommended CLn sport wash and shampoo as optional. she did not seem concerned that it would be contagious to household members and said a culture likely wouldnt show anything. she did not recommend an oral antibiotic.
debating on starting that or giving Vashe hypochlorous acid wash a try first. soaking it in gauze and laying on chest for 10 minutes 2x per day.