Ive been dealing with some type of progressive skin issue for well over a decade now. It started with puberty, little skin colored bumps or papules on my arms with a white but translucent seed like core with a coiled hair inside. But before puberty I used to have this massive rash across my body that burned and blistered. I never got any medical treatment as my very estranged egg doner decided any kind of steroids would put me through puberty, yes even topicals.

The bumps can be asymptomatic or get inflamed and painful with colored discharge. They are always kind of tender but can become painful if infected.

If left alone it doesnt resolve, and if scratched or picked, it leaves a heavy hyperpigmentation scar.

Over the last five years it has shifted to my chest, back, sides, underarms, thighs and legs as well. I also get the same bumps on my jawline and neck or even between my eyebrows. It is the worst on the tops of my thighs right now.

Because of this I have developed excoriation disorder along with heavy anxiety. Lots of scratching and just general picking. Which inflames everything.

All areas of the body have the same bump and seed regardless of hair or skin thickness was or reactivity. The bumps on my sides and chest will progress into a boil or cyst, that has been diagnosed as hidradentitis supperitiva.

The same dermatologist decided everywhere else on my body was keratosis pilaris despite no rough, goosebump type bumps, or dry skin at all. I have been to a previous dermatologist that declared I simply had acne and to shower more.

I have used: hibiclens, amlactin, urea eucerin, bleach baths, benzoyl peroxide.

I am currently using doxycycline to keep most infections at bay but they have no effect on the bumps themselves.

Dermatologist has given me nothing else besides clindamycin.

Will not do any skin scrapings or biopsies despite my requests. She has frequently accused me of self harm and disregards my excoriation diagnosis.

My general doctor has agreed to a trial with spirolactone to see what happens, and I have been on it for a month and a half, going up in dose each month. I am at 50mg right now. I notice less redness on my face and body in general but I am still experiencing the bumps. Though I did experience a rash on my neck, and something that looks like dihydrosis eczema on a singular finger and behind my ear, when I have not had any rashes since puberty safe for if I find poison oak or ivy, so I wonder if the spirolactone is suppressing very high androgen levels

I have gone through periods of using lotion three times a day or no lotion at all and there is no discernible difference. Nor do I use any type of close razor. The only thing Ive discovered that has any visible effect to the bumps is a chemical depilatory and that only seems to work well on my arms and underarms.

I am mentally and physically exhausted. I do not get acne except very rarely on my face, I shower daily, lotion twice a day and wear scrubs most of the time. I do not go out in the sun except to go to my car and such.

I also experience a lot of heavy redness on my face similar to a malar rash and along my extremities and chest.

I am exhausted, sick of the extensive redness and scarring, and not having any kind of answers. I dont care if its just acne or something else, I want it to go away. If anyone has anything simular to me, please let me know.