What Back Rash Is That – Diagnose Your Skin Disorder And Get It Treated

Home/What Back Rash Is That – Diagnose Your Skin Disorder And Get It Treated
Healthy Skin Clinic is an Online Skin Consultation service available Australia wide. 3D-Women-Doctor-01Our service is unique because:
  • we offer online help with treating your skin disorder
  • our practitioners are trained in treating people with a problem skin condition
  • because our practitioners are trained in holistic medicine, we treat the cause and the symptoms to help our clients achieve rapid and long term relief
  • you are given access to our online questionnaires that make your consultation more thorough and suited to your needs
  • we do a real consultation via Skype video and talk to you about your medical history, possible skin disorder triggers, diet and lifestyle recommendations etc. This gives us a complete picture.
  • you are given an individualized treatment program
  • you are given access to our Healthy Skin Business Membership Site. In here you will find information to support your treatment program including dietary recommendations, recipes, lifestyle information, a Members Only therapeutic store where you can purchase your recommended Practitioner Only Supplements and topical agents
  • our topical products are made exclusively for clients of Healthy Skin Clinic and can be modified to your individual needs
  • Healthy Skin Clinic is owned by Nurse, Naturopath and Formulation Chemist, Vivienne Savill, who has extensive experience in treating general health and skin conditions without the use of drugs.

We hope your find your report informative. If after you read your report, you would like to book a consultation, please click on this link for more information. If you would like to find out more, please go to the home page.


 The Back Rash Report

Diagnose Your Skin Disorder and Get It Treated With An Online Skin Consultation

There are thousands of different types of skin disorders. Some occur extensively over various parts of the body, whilst other skin disorders can be found in only certain areas such as the scalp.

This report is designed to help you investigate what sort of skin disorder you may have. Because there are so many types of skin disorders we will only look at the most common ones.

Our report does not discuss the rarer skin disorders such as;

  • uraemic pruritis (chronic kidney disease disorder)
  • lichen planus
  • capillaritis
  • seborrhoeic keratosis
  • chickenpox (varicella)
  • notalgia paraesthetica

We do not try to identify/diagnose skin cancers. It is recommended that you see a skin cancer specialist for a skin check, if you have a ‘suspicious looking’ lesion. We recommend a second yearly check for skin cancers (or yearly if you have a history of skin cancers) for people living in Australia as such a high percentage of our population will develop skin cancers of one sort or another.




Eczema of back in older maleEczema of back in a maleEczema of backEczema of a baby

Eczema or atopic dermatitis is an allergy related skin disorder.Some nutritional deficiencies and imbalances of the immune system can make a person susceptible to allergy.

In particular there can be raised IgE antibodies to things such as foods, pollens, grasses, dust mites, animal danders to name but a few.There are 100’s if not thousands of food and environmental allergens.

Many allergens are airborne (e.g. pollen) which often makes them very difficult to avoid. Most people who have problems with allergy have an imbalance of the immune response which makes them more prone to a reaction to these triggers.

Eczema tends to be red and itchy. It is usually dry however it can be moist due to infection.The area usually has tell tale signs of scratching. The skin barrier is damaged and Transepidermal Water Loss occurs (TEWL).

Atopic dermatitis occurs in young babies and often disappears as one approaches adulthood. It is not unusual for  it to return in later life.

Often medications and stress are the triggers for eczema in later life.

How to achieve rapid eczema relief

Fortunately there are several known natural Practitioner Only Products that your Skin Specialist has access to, that effectively help to soothe the skin. As imbalances of the immune system can be related to eczema, a natural eczema treatment will seek to return the body to homeostasis, repair gut function and permeability, assist with immunity, decrease inflammation and replenish any mineral deficiencies.

An effective treatment will use creams specifically to heal the skin as well as internal supplements and dietary or lifestyle measures to decrease the triggers. We use topical products produced exclusively for the use of Healthy Skin Clinic clients.




Psoriasis on back of elderly female

After using a topical treatment, the scale can be removed. A red plaque can be seen at this stage of healing

Psoriasis of sacrum

Psoriasis is a genetic disorder (running in families)  that is characterized by its large, silvery and often thick scale. The red patches underlying the scale are usually well defined. At times the scale can be so thick that the underlying skin cannot be seen. The most common spots for psoriasis are the elbows, knees and sacrum. It is usually found on the body in a symmetrical distribution.


There are several types of psoriasis however plaque psoriasis and guttate psoriasis are the types that generally effect the back.

Psoriasis on back of young female

Mild scaling in a young female with extensive psoriasis over various parts of the body.


Psoriasis affects around 2% of the population. The late teens and around the age of 50 years are the most common times of the first appearance for psoriasis. People can live free of psoriasis, often until late adulthood, until an event such as high stress or exposure to a streptococcal infection triggers it. Once triggered, the disorder will always be there, but has periods of remission and flare ups.

The severity of psoriasis varies markedly. Some people experience minor irritating symptoms such as a flaky scalp, elbow or knee now and Psoriasis close up of scaleagain compared to others who have a widespread, thick and scaly skin almost continually.

Guttate psoriasis has a slightly different appearance with widely spread drop like lesions in comparison to plaque psoriasis which tends to have large lesions. It usually occurs following a streptococcal infection such as a sore throat.

Healthy Skin Clinic produces natural occlusive creams with essential oils and extracts that help to remove the scale and improve the skins appearance. Our practitioners recommend Practitioner Only supplements to rebalance the immune system and replace nutrients that are deficient. We also recommend specific diets to assist with the healing of the psoriasis.



Acne, Folliculitis and Boils

Acne of backAcne is a type of folliculitis because it effects the hair follicle. There are numerous types of acne, several occurring on the back. Young males appear to be more prone to acne of the back.

Acne vulgaris is the milder form of acne that produces pustules (pimples), papules (bumps), black comedones (black heads) and white comedones (white heads).

Nodular cystic acne is a more serious form. It can affect the trunk and back, neck,  face, upper arms and buttocks. The nodules or cysts can be 1 to  4cm in size. They are often inflamed, red and painful. Cysts and nodules can join to form sinus tracts. Scarring is common with this form of acne.

Acne Conglobata is the most serious form of acne. It is a type of cystic acne that affects the trunk predominantly and is characterized by the formation of nodules, cysts, abscesses and ulceration.

Other Types of Folliculitis of the Back

HotTubFolliculitisHot tub (spa) folliculitis

Hot tub (spa) folliculitis or psuedomonas folliculitis occurs after going into spas that are not adequately treated with chlorine.

The lesions are small, red, sometimes with pustules. Commonly they occur under the swimming costume area.They can resolve spontaneously, however an immune boosting supplement would be of benefit.

Melassezia Folliculitis

This type of folliculitis occurs most commonly in tropical regions, mostly on the back. The area is itchy with papules (bumps) and pustules (pimples). There are no comedones (black or white heads) like might be found with acne vulgaris.


Keratosis pilaris in young female


Keratosis Pilaris

Keratosis pilaris has a genetic origin. Many people with ichthyosis vulgaris (a dry skin disorder due to a problem with filaggrin in the skin) also have the disorder. This skin condition occurs in children and adults in later life but is most common in teenagers.

It is commonly seen on the shoulders and upper arms, sometimes spreading to the upper back. The thighs, buttocks and sides of the cheeks can also have keratosis pilaris.

The abnormal keratinization of the hair follicle results in the production of scale. The hair follicle then becomes blocked with this plug that is often referred to as a horny spine.This results in the appearance of skin coloured or slightly red or brown scaly spots. These lesions are not itchy. Often hypopigmented, pale areas are seen also. The condition appears symmetrically on the body.

Some natural ingredients can supposedly help break down the plug.

Lupus Erythematosus

Lupus most commonly affects women between the ages of 20 and 50 years and there is believed to be a hormonal connection. Males and children can have lupus but this is less common.

In Lupus the body is producing high levels of Antinuclear Antibodies (ANA). Although ANA is raised with many health concerns, it is a defining characteristic of those with lupus. These antibodies attack the nuclei of the cell.

There are numerous types of lupus and not all of them occur on the back.

Types of lupus skin disorders include:
• discoid lupus erythematosus – red scaly patches predominantly occur on the cheeks, nose and ear. Also on the back and hands (outer) but less commonly on the palms or soles (palmoplanter lupus). Another form can resemble thick, wart like skin. Hair follicles can become plugged with scale and in more serious cases, destroying the hair follicle causing permanent hair loss (scarring alopecia). Another area affected by discoid lupus is the mouth and lips where ulceration and scaling can occur.

• subacute lupus erythematosus: appears on the back and chest. There are four types including Annular or polycyclic lupus which is large rings; Papulosquamous lupus that is scaly and bumpy; Purple spots known as vasculitis; Nodular lupus which has multiple lumps.
• lupus panniculitis (profundus): firm nodules develop within the underlying fat of the skin. The inflammation that occurs with lupusLupus on the back of a male. There are several types of lupus and it is an autoimmune disease. destroys the fat cells producing dented scars.
• lupus erythematosus turmidus: the skin is red, swollen, with bumps and patches which are sometimes in a ring-shaped presentation. It often affects areas of the skin that are exposed to sunlight and commonly disappears during winter months.
• neonatal lupus erythematosus: a temporary ring-like or annular rash that clears within a few months.
• cutaneous lupus mucinosis: deposits of mucin in the dermis produce papules (small bumps), nodules (larger bumps) and plaque (flattened red patches) on the cheeks, upper chest, back and arms.
• systemic lupus: causes a ‘butterfly shaped rash’ across the cheeks, mouth hives, diffuse hair thinning, blisters (rarely) and can also cause photosensitivity to all areas of the body exposed to the sun.

Decreasing the levels of anti-nuclear antibodies, inflammation and boosting the immune response is an important part of treatment.

Dietary changes can help to rectify the autoimmune response. Herbal and nutritional supplements are beneficial for correcting internal triggers and imbalances.


There are many types of tinea that occur in various regions of the body. Many people believe that the white spots (often known as handkerchief) are tinea –  but this is not the case. This is a form of pityriasis (see below) and not a fungal infection.

Tinea corporis (ringworm) can occur on the back. As the name suggests, it is a characteristic ring shape, which can have a mild scale on the Ringworm close upTinea_corporisouter edge. The centre of the ring is usually spared.

Tinea corporis can be due to several different tinea strains. M. canis is responsible for the type of ringworm that is often caught from animals. It can be a red, itchy area with pustules.

Tinea rubrum is another common cause of tinea. It is a more chronic, difficult to eradicate type of tinea and is prone to reoccur.

Due to certain nutrient deficiencies, the body can become more prone to tinea.

As part of the treatment for tinea that Healthy Skin Clinic offers, we ensure that diet, lifestyle, supplements and topical agents are utilized to get on top of the condition. Topicals with many different types of antifungals are utilized, usually with good success rates. Our clients are encouraged to continue the treatment for several weeks after the fungi has disappeared, as it is prone to reoccur year after year, if it is not dealt with properly.



Pityriasis versicolor treatment (tinea versicolor) should always address possible triggers of the skin problem including diet, lifestyle, mineral deficiencies.

Pityriasis versicolor treatment (tinea versicolor) should always address possible triggers of the skin problem  including diet, lifestyle, mineral deficiencies.

There are several different types of pityriasis that occur on the back and trunk. The common characteristic is that they all have a light scale.

Pityryasis versicolor

Pityryasis versicolor is a commonly occurring skin problem particularly in hot and humid climates. Frequently pityriasis versicolor is known  as ‘tinea versicolor’ as it is linked to a dermatophyte fungus.

The term versicolor  refers to its changing colour from red, brown, pink to white. The lesions of pityriasis versicolor are  usually restricted to the back, upper arms and chest. They are generally flat, sometimes with a fine scale.

Pityriasis versicolor (tinea versicolor) is not usually itchy. Pityriasis versicolor  thrives in hot environments. In tropical regions people often wear light clothing that only partially covers their upper body and arms.  The pityriasis versicolor can therefore be quite noticeable and for this reason can be distressing and embarrassing.

In hot regions in particular the condition can reoccur and flare up on and off for years, if left untreated.

An effective pityriasis versicolor treatment will include the application of topical creams that contain antifungal/antimicrobial ingredients such as natural  essential oils. Topical applications need to be applied for several weeks after the lesions have disappeared. We use topical agents specifically formulated for the clients of Healthy Skin Clinic .

Fungal and yeast infestations can be opportunistic on the skin when the environment is right. It is therefore important to ensure the body has adequate minerals, a sound immune response and that the pH of the skin is not too acidic. The skins acidity can be affected by mineral deficiencies.

During your Online Skin Consultation your natural Skin Specialist, may recommend several different strategies to eradicate the problem. This might include Practitioner Only Products which contain antimicrobial herbs, immune enhancing herbs or certain minerals to assist with skin health.

Pityriasis rosea

Image supplied by Dr James Heilman, MD

Image supplied by Dr James Heilman, MD


Pityriasis rosea is characterized by a larger lesions known as a herald patch, that appears some time before the other lesions.

Pityriasis rosea is characterized by a larger lesions known as a herald patch, that appears some time before the other lesions.

Pityriasis rosea is characterized by the presence of a ‘ herald patch’ – a single lesion that is  larger than the other lesions of pityriasis rosea. It usually occurs one to 20 days prior to the general rash.

The herald path is around 2-5 cms in diameter and is usually oval in shape. It is pink or red with some scale and is often mistaken as a ringworm or psoriasis.

The herald patch is usually found on the trunk (stomach or back normally) and is  followed by other lesions which appear on the thigh, upper arms and neck.

Pityriasis rosea affects males more than females and usually teenagers and young adults.

The disorder is self limiting and usually resolves after several months.


Herpes zoster (shingles)

Shingles is a painful blistering rash that tends to follow the nerves (or dermatones) causing pain and blistering.


Herpes zoster occurs as a result of the reactivation of the chickenpox (varicella) virus. Exposure to the virus usually occurs during childhood and can lay dormant for many years. When the virus is reactivated the Herpes zoster virus becomes attached to the nerve cells of the spinal cord.

Shingles is most likely to occur in the elderly but can affect adults of any age especially if they have poor immunity or stress. Usually the  nerves Herpes_zoster_back-imageinvolved in shingles, are responsible for the sensation of the skin. This is why Herpes zoster can be so painful.

Pain, either localized or more widespread along the nerve, is often the first sign of shingles. Blisters appear in clusters a few days into the attack appearing along the dermatones (nerves) coming from the spine.

Frequently the lymphatic system surrounding the area becomes congesting causing enlarged glands in the area.

Healthy Skin Clinic offers a treatment for Herpes Zoster that includes oral supplementation using Practitioner Only Supplements that will be recommended to you during your consultation. We also recommend using topical creams to improve the appearance and feel of the herpes zoster (shingles). Our topical creams include  include natural ingredients such as essential oils to ;

  • exerpt an antiviral affect
  • assist with lymphatic drainage
  • support wound healing
  • soothe the nerves
  • calm inflammation of the skin

I hope you have found our Back Rash Report informative.

Remember, Healthy Skin Clinic offers Australia wide Online Skin Consultations with professionally trained health practitioners. We are proud to say that our treatments are based on the latest research, are thorough and aim for rapid relief of your skin problem plus long term resolution.

For more information go to www.healthyskinclinic.com.au


Written by Nurse, Naturopath and Formulation Chemist, Vivienne Savill for Healthy Skin ClinicSmiling front shot with white dress



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