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Dermatological Disorders

Carbuncle

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This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

A carbuncle is a cluster of boils, painful, pus-filled bumps, that form a connected area of infection under the skin.

A boil is a painful, pus-filled bump that forms under your skin when bacteria infect and inflame one or more of your hair follicles. A carbuncle is a cluster of boils that form a connected area of infection under the skin.

Boils (furuncles) usually start as reddish or purplish, tender bumps. The bumps quickly fill with pus, growing larger and more painful until they rupture and drain. Areas most likely to be affected are the face, back of the neck, armpits, thighs and buttocks.

Symptoms

Boils

Boils can occur anywhere on your skin, but appear mainly on the face, back of the neck, armpits, thighs and buttocks — hair-bearing areas where you're most likely to sweat or experience friction. Signs and symptoms of a boil usually include:

  • A painful, red bump that starts out small and can enlarge to more than 2 inches (5 centimeters)
  • Reddish or purplish, swollen skin around the bump
  • An increase in the size of the bump over a few days as it fills with pus
  • Development of a yellow-white tip that eventually ruptures and allows the pus to drain out

Carbuncles

A carbuncle is a cluster of boils that form a connected area of infection. Compared with single boils, carbuncles cause a deeper and more severe infection and are more likely to leave a scar. People who have a carbuncle often feel unwell in general and may experience a fever and chills.

Treatment

Incision and drainage and Antibiotics

Sebaceous cyst:

Epidermoid cysts are noncancerous small bumps beneath the skin. They can appear anywhere on the skin, but are most common on the face, neck and trunk.

Epidermoid cysts are slow growing and often painless, so they rarely cause problems or need treatment. You might choose to have a cyst removed by a doctor if its appearance bothers you or if it's painful, ruptured or infected.

Symptoms

  • Epidermoid cyst signs and symptoms include:
  • A small, round bump under the skin, usually on the face, neck or trunk
  • A tiny blackhead plugging the central opening of the cyst
  • A thick, yellow, smelly material that sometimes drains from the cyst
  • Redness, swelling and tenderness in the area, if inflamed or infected

Treatment

Incision and drainage, Minor surgery.