Small bumps on the bladder (i.e., the back of the shoulder) can be caused by conditions such as folliculitis, eczema, and acne. It is recommended to clarify the diagnosis and improve the condition through general treatment and medication.
1. Folliculitis: Folliculitis is caused by bacterial infection, which may lead to localized red inflammatory papules. Patients can use topical fusidic acid, mupirocin and other antibiotic ointment, if necessary, can be prescribed oral amoxicillin, levofloxacin and other sensitive antibiotics anti-infection treatment.
2. Eczema: the cause of eczema is not yet clear, can make local erythema, papules with itching. Patients can use hydrocortisone cream, mometasone furoate cream, etc., but also oral cetirizine, loratadine and other antihistamines as prescribed by the doctor; patients with severe symptoms can also be systematically applied under the guidance of a doctor, such as prednisone and other glucocorticoids, immunosuppressive drugs, such as cyclosporine treatment.
3. Acne: Acne can also cause small bumps on the back of the shoulders. Patients can use topical adapalene, benzoyl peroxide, azelaic acid and other drugs; when the symptoms are serious, you can follow the doctor’s prescription oral isotretinoin and other retinoids, doxycycline and other antibiotics, cyclopropylprogesterone and ethinyl estradiol combination of hormone drugs, but also combined with red and blue irradiation and other physical therapy to improve the symptoms.
In addition to this, infectious molluscum contagiosum, filiform warts, keratosis pilaris and other diseases may also lead to small bumps on the back of the shoulder. It is advisable to avoid scratching and irritation and go to the dermatology department of the hospital in time to get a clear diagnosis and standardize the treatment under the guidance of the doctor.