Anyone familiar with chronic crater-like skin sores?
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tom_thinker posted:
My wife is suffering from a recurring skin sore condition. She had it briefly while in her 20's, then it resumed in her late 30's. It can be present for a year or more, and can also disappear for a year or more. Here's how the sores play out: [br>[br>There is never a blister. They always start out as a very small, flat sore (almost like a very tiny round rug burn). Even early on, it weeps a clear fluid. The sore then grows in size and starts to break down from underneath (becoming concave). The surface becomes yellow, tight, and very painful. The size continues to increase (up to the size of a thumb nail, though usually the size of a pinky nail or slightly smaller). Then the yellow tight surface becomes soft, continuing to weep a clear or slightly yellow fluid (still concave), and she is able to remove it with a tweezers. Once removed, the tissue underneath is raw, spotted with at least one, if not several tiny red dots. At this point, the sore slowly begins the healing process (atleast a week or two), ultimately leaving a permanent scar behind. Years ago, they were only on her arms. When she was pregnant with our twin daughters, they were largely concentrated on her tightly stretched abdomen, and currently, they are only on her legs. [br>[br>Other background info: We've been to several dermatologists, who find it a mystery. One believed she was self-inflicting them. Another believed that it was some form of auto-immune condition (I'm leaning in this direction). The Mayo Clinic did a core sample of one of the sores, and found nothing (no bacteria, etc.). They seem to be triggered by eating certain foods (especially fats that are solid in room temp - butter, partially hydrogenated oils, palm kernel oil), but might well also be triggered by stress. There have been times of great stress when she did not get the sores, so that alone is not the cause. She's also gluten sensitive, though the sores associated with Celiac appear to start as a blister, and then break down. My wife's sores never blister, but start flat and then progress to a concave shallow crater (deep crater once she removes the softened yellow surface). [br>[br>We're at our wits end. Does this sound like anything anyone has read about or experienced before? Any insights or suggestions? I have a photo I could post if there's a way to do so.
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tom_thinker responded:
Anyone heard of something like this before?
 
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Elizabeth_WebMD_Staff responded:
Hi Tom,

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An_247185 responded:
I just found your post. I have dealt with what you are describing all of my life (I am in my early twenties). Sometimes I go a year or more without them. Always a seeping crater that starts as a small flat wound and then develops into a crater. I have been to atleast 5 docs and no one has any idea what it is. They take forever to heal and are embaressing because they leave a dark scar. Most doctors think it is related to stress. I am on a low-fat diet due to a digestive issue, they actually asked me to cut gluten to see if that would prevent these issues. I currently have a team of 5 dermatologists waiting for my next one to biopsy..... but I doubt they will find anything of use.
 
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Whatisit responded:
I found your post looking for the same information. What is it? I have the same issues on my hands and arms. Wierd... It starts just like you said "a small rug burn" and it does hurt the same.

I've searched and searched to no avail. Please keep me in mind if you find out what is truely causing the problem and how it can be corrected.

Sincerely,
What is it?
 
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canoecathy responded:
WOW this sounds exactly like what I have, All of it. The skin around the outer part of the crater actually becomes hard and dry once it starts to heal. I too have been to many dr.s and skin specialists. I was accused of being a picker which I am not. Sometimes there is a burning feeling . I have used everything and nothing works. They didn't know what it is. One Dr. told me it looked like herpes which I Do Not have. I have been burned with liquid nitrogen, hurts badly and doesn't help, more scarring. I have used a high powered cortizone ointment and taken Ivermectin twice. I was told it is a severe allergic reaction, also auto immune, stress related. I was told I suffer from anxiety which I don't. I too am sensitive to wheat. I do eat butter. Mostly on my back. The scars are deep. Once they start to heal there is a crusty dry bump there. I pray everyday for this to go away. I have had this on and off for 2 years now. I first thought it was from a tanning bed, now I don't know.
 
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canoecathy replied to canoecathy's response:
I have seen 2 boys not related approx. 12 yrs old with the same type of sore. One was on the scalp and the other on the temple of the forehead. I cut hair and work at a hospital both part time. I had never seen these boys before and they are not related. I feel it is somehow related to sweat. I had MRSA 2 yrs ago and I was septic. This is not anything like that.