Itchy rash on neck and throat: symptoms and causes

All kinds of skin conditions can manifest themselves in the neck and neck (region). This may be accompanied by a range of skin complaints, such as redness, itching (irritating or itchy rash), pain, swelling or flaking. There are many different skin conditions. Some of these can also occur in the neck or throat (and chin), and in some cases this area is a preferred location. In most cases, with the right treatment, something can be done about it.

  • Skin rash on neck and neck
  • Acanthosis nigricans: rare skin condition
  • Folliculitis
  • Keloid folliculitis
  • Red itchy spots on the neck due to atopic eczema
  • Dermatomycosis
  • Epidermal nevus (nevus verrucosus)
  • Erythrosis interfollicularis: can occur in the neck and neck
  • Carbuncle in the neck
  • Lymphangioma
  • Pseudoxanthoma elasticum
  • Urticaria


Skin rash on neck and neck

Skin problems are a common problem for most people. There are all kinds of skin conditions, some more serious than others. One of the most common skin changes is a red rash or red spots, which may or may not be accompanied by itching. You can develop a red rash on the face, neck, abdomen, arms, legs and even the scalp. What are the most common skin conditions that can (also) manifest themselves on the neck?

Acanthosis nigricans under the armpit / Source: Madhero88, Wikimedia Commons (CC BY-SA-3.0)

Acanthosis nigricans: rare skin condition

Acanthosis nigricans is an uncommon skin condition associated with obesity and insulin resistance. The condition is characterized by hyperpigmentation with increased skin relief, with dark skin discolorations and a thick, velvety rash. It is mainly seen in the armpits, neck and genital area, under the breasts and groin.


Folliculitis refers to inflammation of the upper part of the hair follicle or hair follicle. The inflammation often occurs as a result of an infection with a bacterium, a fungus, a virus or a yeast. An unsightly pus head often appears at the location of the hair follicle. It is often accompanied by itchy, irritating or painful skin. Folliculitis usually resolves spontaneously.

Keloid folliculitis

Folliculitis keloidalis is a rare, chronic, non-contagious skin condition in which the hair follicles on the hairy head (specifically in the posterior hairline on the neck) become inflamed. This often leads to serious scarring. The condition is mainly seen in young adult black men, but others can also get it. The cause is (still) unknown in 2023. Despite all kinds of treatments, this condition often persists.

Atopic eczema in a child with scratch effects / Source: Eisfelder, Wikimedia Commons (CC BY-SA-3.0)

Red itchy spots on the neck due to atopic eczema

Atopic eczema (also known as ‘constitutional eczema’) is a form of eczema that mainly occurs in childhood. It usually occurs before the second year of life and is mainly characterized by a severe itchy rash. The child will experience redness and flaking of the skin and small bumps may develop. Sometimes blisters with fluid discharge are also visible. The entire skin is dry and often feels a bit rough. In some adults with atopic eczema, the eczema is mainly present on the face (eyelids and upper lip) and in the neck and neck.


A dermatomycosis occurs when fungi or yeasts cause visible skin abnormalities. These are often round or ring-shaped, red skin lesions with a scaly, raised edge. Central paler aspect; that’s the part that’s healed. Treatment often consists of a local antimyotic drug.

Epidermal nevus (nevus verrucosus)

An epidermal nevus is a congenital wart-like skin defect in which brown wart-like spots occur. The abnormality is present from birth but only becomes visible during childhood. It occurs during embryonic development as a result of a ‘flaw’ in the production of the skin. Therapy is not required.

Erythrosis interfollicularis: can occur in the neck and neck

Erythrosis interfollicularis (Civatte’s poikiloderma) is a chronic, benign skin condition that occurs on sun-exposed skin areas such as the neck, sometimes also towards the jaw edges to the cheeks, and on the chest. The red-brown skin abnormalities are caused by chronic UV light exposure. The result is a pigment disorder in combination with aging symptoms and damage to the skin structures. Treatment is not required, but can be treated with laser therapy if desired.

Boil / Source: El Pantera, Wikimedia Commons (CC BY-SA-3.0)

Carbuncle in the neck

A carbuncle (also called a ‘nine-eye’) is a group of small and shallow furuncles or boils connected together under the skin. This may release pus. A carbuncle is usually an infection of the hair follicle with abscess formation caused by the skin bacterium
Staphylococcus aureus .


A lymphangioma (lymphatic malformation) is a type of swelling in the skin, which is caused by a collection of dilated lymphatic vessels. They are uncommon and usually appear after birth, at least before the second year of life. They can form small skin-colored to beige-brown bumps or large, disfiguring growths. You do not suffer from itching or pain.

Skin abnormalities in pseudoxanthoma elasticum (PXE) / Source: Kilbad, Wikimedia Commons (CC BY-3.0)

Pseudoxanthoma elasticum

Pseudoxanthoma elasticum (PXE) is a rare genetic disorder, with an incidence of 1:150,000. This skin condition is characterized by rows of skin-colored skin nodules, which sometimes merge into plaques.


Urticaria (hives) is in fact a hypersensitivity reaction of the skin. It often comes on quickly and you can recognize it by the red or pale pink, itchy rash. Often no cause is found. Normally, the rash is only present for a short time, after which it disappears spontaneously.

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