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Hard lumps weeping clear fluid on scalp
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An_207229 posted:
Hello Doctor and Community

After scouring the Internet, as well as seeing my GP twice, I still do not know what is the source of my scalp problems:

Last year, I felt a noticeable pressure on my head - I thought it was a pressure headache of some sort for a long time. One day I was rubbing the area near the top of my head that was bothersome, and felt a hard lump. Obviously, I was scared, and showed it to family members, who said it appeared red. After feeling around it, I must have applied exactly the right pressure at exactly the right spots - because i felt, and heard, a *pop*. I pulled my hand away and realized my fingers were covered in a clear, water-like fluid. The fluid dried quickly, leaving a yellowish film. I blotted the area with tissues, and realized it was draining pretty heavily. The first thing i realized, that although it definitely hurt after it was opened - that nagging pressure on my head was dissipating. It drained for at least a day - my scalp continued to feel "wet" to the touch, and it clumped in my hair. Because my hair is thick (no hair loss was noted) it was very difficult to take a picture to show my doctor or to have people see what was going on. All we could see was that it was "boggy" and sore while it was draining. After, a thick crust formed over it, and it healed completely. Since that time, I have had several of these lumps. My doctor believes it is scalp psoriasis. However, I must point out that it begins as a smooth, hard bump/lump which is NOT weeping/crusting. I know its wrong, but I have popped several of these, to my doctor's dismay. It is the popping which causes it to weep fluid and become sore, however - this relieves the pressure I feel on my head. My doctor has prescribed ketoconzole (sp?) which did not work very well, as well as antibiotics to ward off secondary infection once these lesions are open and weeping. Is this a type of cyst? There is no pus - just this clear, yellowish, watery fluid. I would really like to find a remedy - Selsum Blue shampoo worked for several months.
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An_207230 responded:
Did the selsum Blue shampoo truly work? I had a severe reaction to goose down feather pillows at a hotel. I woke up with my head wet and my face very swollen. Went to the ER and I was treated with High dose steroid, Rocephin, Epinephrine and pepcid. After a few days the swelling went down but I I am having I am a residual rash which is clearing up! But my scalp is draining a clear yellowish fluid.
 
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An_207231 replied to An_207230's response:
Yes, a dermatologist suggested it was a scalp dermatitis of some sort. He said to switch bi-weekly between head and shoulders and selsum blue. I also mix tea tree oil into the selsum, which helps as well.
 
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tc87201 responded:
I have the same on scalp and in eyebrow or on random spots on face. I am prone to "epidermal cysts" w/1 or more occuring about every5-6 weeks. The fluid is aliken to Synovial fluid, clear stcky/slippery and the scabs that form are from the skin drying out when drained. My doc has no solution but says dont break them--I am not gonna suffer in pain/discomfort I am very hygenic to clean area b4 and after "draining". I hope this helps. Are you still getting this?
 
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ashley100 responded:
I can't believe that someone else has this issue. Has anyone found a cure? I was fine one day and miserable the next. Just when I think I have gotten rid of them they come back. It feels like figerglass is in my scalp and then these fluid filled bumps erupt and spread. I don't know if its caused externally or internally.
 
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scorpionjack replied to ashley100's response:
I just had a stroke on friday_Saturday morning. While on a gurney in the ER for 5 hours I felt pressure on the back of my scalp. To my surprise there was a huge 4x4" blister on the back of my scalp. Being in the ER you think they would be concerned. Through the next two days and heat compresses it's been leaking clear liquid. Scabs over I scratch the scab allowing more drainage, should I be concerned? They keep giving me heat pads and no one has a definitive answer.
 
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67uest replied to scorpionjack's response:
Mine I guess began about 3 months ago but I paid it no attention it happened so slowly. I put an old Army hat on I hadn't worn in years. It fit very tightly thought it was just longer hair than I had back in the service. Then slowly started noticing odd clusters of hard with occasional soft lumps across my scalp. Then began itching on the back of my head, either side. Horrible itching I dismissed as dry skin worse with every winter it seems. Then what seemed to be a pimple on my neck which would not burst two weeks still no luck. Then yesterday a lump on the back of my head that was painful would not burst. But I continued and it has not stopped for hours. pressure relief feels good. Then shortly after I stop squeezing it from the small hole in my scalp.. Mostly because the softest liquid that I can squeeze out is out. The hard but pliable ..... Anyway, sucks I want to scalp MYSELF


It has to besome kind of toxin accumulation I can imagine the body doing this for any other reason?? I literally treated my scalp like a tube of toothpaste. pushing all that odd substance out through the small hole. 7 hours and still more in there I had to take a break.


The best feeling though through the pain I feel so much better. I thought I had a bad winter cold that would not got away all winter I feel great, besides the area I've squeezed the ooze out of. Has anyone had any good leads on the cause of this bizarre experience??
 
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donaldw1594 responded:
I have had the exact same thing since shortly after my open heart surgery in 2008. Just out of intensive care after having a quintuple bypass, a nurse came into my room and tried to give me a bag of blood. I stated that I wished not to get this transfusion as I didn't know where or from whom the blood was taken and that I was doing fine without it. At the time, my wife and church pastor were there and witnessed this conversation. I must have fallen asleep because several hours later, i woke up and noticed that an IV tube was inserted into my neck and it was connected to that bag of blood that I had refused earlier. On release from the hospital, I developed infections in several of my incisions which were successfully treated with 3 courses of cipro along with an apology from my surgeon. I subsequently developed these painful red bumps on my scalp that I have to pop to relieve the pressure. They seem to come with a vengeance every 4-5 weeks. Some of them have a yellow head but still drain clear. About 24 hours after the clear stops draining, blood takes the place of the clear and thats when the bump will start to heal. If I sweat and or in the summer heat, the bumps get much worse. I have seen several dermatologists along with my PCP and they all refer to it as folliculitis that can't be cured. I think that they all have no clue and keep hoping to find some relief. Any Ideas?


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