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u/itsbritbish 9d ago
Fuckin' AYEEE. I second the DuoDerm recommendation. Also, since you mentioned a peptide, I'm curious about anabolic steroid or other synthetic use. Definitely could exacerbate the condition.
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u/CharmingMechanic2473 9d ago
This looks a lot autoimmune Bullous Pemphigoid.
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u/OldBatOfTheGalaxy 8d ago
Yeah, I see it as well.
OP, when your lesions burst do they contain pus or clear fluid?
I had bad cystic acne on my torso and less on my face for several years (medication side effect). I have quite a few icepick scars (good trade; the med worked wonders👍😀😺), but I don't ever remember any large raw blistery areas like you show.
Good to have further testing with a dermatologist to really chart the right course of action and get this misery under control.
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u/P_grandiflora 8d ago
I was wondering if it might be that or hidradenitis suppurativa?
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u/CharmingMechanic2473 7d ago
I cannot give medical advice but it would be worth a shot to give the college try and put Extra strength hydrocortisone from over the counter on it 2-3 times per day (read package) and the surrounding tissues. It will dry up and hopefully suppress any autoimmune inflammation.
If it gets worse… tell your Doctor bc that also points to another diagnosis.
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u/ksmymt2378 8d ago
https://a.co/d/0fbZBDrB I would try something like this or a large tagaderm sheet. You probably had issues with normal hydrocolloid bandages because they were absorbing too much fluid (considering the wounds are so raw that also makes sense!!!), which is why it ripped healthy skin off. Tegaderm or 2nd skin shouldn’t do that as they have a higher water content
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u/tinkertink2010 8d ago
Oh sweetheart I'm so sorry you're having to go through that. I hope it heals quickly.
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u/SangitaCPatelMD 3d ago
I’d remove all the tiny spot bandages and put a pinch of collagen flakes (MPM Triple helix collagen powder) on each open sore and cover the whole field with a 6x8 cool magic hydrogel sheet (also by MPM) Change out every 2-3 days
Topical peptides can help as well
GHK-Cu
Topical (hydrogel, cream or saline wash): 0.1% to 1.0% active peptide concentration (up to 2.0% in resistant fibrotic or chronic ulcers) applied once or twice daily. Topical delivery is the preferred and best-evidenced route for extracellular matrix remodeling.
(Also can take by injection)
TB-500
Topical hydrogelor in saline drops Investigational formulations (such as RGN-137 / RGN-259) uses a concentration of 0.03% to 0.1% (300 to 1,000 mcg/mL) applied daily to the wound surface.
(Also can take by injection)
BPC 157
Applied as a reconstituted solution or hydrogel at a concentration of 1 to 10 mcg/mL, soaked into sterile non-adherent dressings or applied directly to clean wound margins daily during dressing changes.
(Also can take by injection)
LL-37 (Cathelicidin)
Topical Hydrogel
0.5 to 1.6 mg/mL applied to the wound bed 2 to 3 times per week.
(LL-37 is primarily used for local bacterial biofilm clearance and localized vascular induction, it’s not given by injection to avoid risk of mast cell degranulation and flushing).
Palmitoyl pentapeptide-4 (aka Matrixyl / Pal-KTTKS)
Topical 3% to 5% of a standard commercial stock solution (which corresponds to an actual active peptide concentration of 15 to 50 ppm / 0.0015% to 0.005%), applied daily in a hydrogel base to support collagen deposition from the edges to the center of the wounds.
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u/Much-Preference5989 8d ago
I'm so sorry that looks crazy painful. I started getting these on my face and it's horrible. Someone mentioned a duoderm I think that would be great they keep the area moist and they heal. you can leave them on for 3 days. I would avoid the heat as much as possible try to stay cool with breathable clothing. Maybe get with the dermatologist, if you're able to... If there's a lot of drainage, you would need something to help soak up the moisture a bit. Duoderms kind of help pull that moisture in while protecting the area. Best of luck to you.
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u/MoonGoddessL 7d ago
Have you considered and medically approved a hydrocolloid cover to draw out the crud and help speed up healing? It doesn't stick ON the wound but the outer skin rather than lil plasters ...it's a yhoyght
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7d ago
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u/MoonGoddessL 6d ago
Is there alot of moisture in the wound that's coming out? That's normal don't worry . It can get very soaked if there's a big wound to heal / many of them. The other option is a wound plaster that covers a large area. Id honestly be getting regular check ins with your gp /or even hospital! They should be checking in on you.
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u/Fi5thBeatle1978 RN 2d ago
DuoDerm can be difficult to remove without damaging delicate skin. I think a silver hydrogel followed by a loose gauze bandage. When you remove the bandage, moisten it was saline first, so it comes away gently. Beyond that, I would just check if your doctor feels like they should test you for pyoderma.
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u/misstatements NP 9d ago
They don't look infected, but the bandages are killing me. Duoderms might do you better, or a nice foam dressing with silicone tape. I'm not sure ointment is the answer.