The image depicts a section of skin on the neck area showing multiple raised lesions, each at varying stages of inflammation and infection.
These appear to be sebaceous or epidermoid cysts—common but potentially uncomfortable skin conditions that form beneath the surface due to clogged sebaceous glands or blocked hair follicles.
Visual Indicators in the Image
The most prominent lesion in the center appears dome-shaped, with a firm, swollen surface and a yellowish core.
This suggests a buildup of keratin or pus—likely the result of a blocked sebaceous gland. When this happens, a small sac beneath the skin traps oil and dead skin cells, leading to a slowly growing cyst.
Over time, if irritated or infected, the surrounding skin becomes red, warm, and swollen, as seen in this case.
Above that lesion, a second area displays signs of infection with possible necrotic tissue or a ruptured cyst, indicated by darkened, crusted skin and an inflamed halo around it.
This suggests the cyst may have ruptured internally or become secondarily infected, leading to further complications such as abscess formation or cellulitis.
A third lesion to the lower left also shows early signs of a similar blockage or cyst—less inflamed but slightly raised—possibly the beginning stage of a sebaceous or epidermoid cyst.
Clinical Significance
Such cysts, if left untreated, can become painful and may rupture, releasing a thick, foul-smelling substance.
In more advanced or neglected cases, like those shown, they can evolve into abscesses—localized infections filled with pus that may require drainage, antibiotic treatment, or minor surgical intervention.
Proper Management
Medical professionals typically manage these conditions through:
- Drainage of infected or pus-filled cysts
- Surgical excision to remove the cyst sac and prevent recurrence
- Topical or oral antibiotics if infection is present
- Avoiding self-manipulation, which can worsen infection or cause scarring
It’s crucial that such lesions are evaluated and treated by qualified healthcare providers. Attempting to squeeze or drain cysts at home can lead to further infection, scarring, or deeper tissue damage.