Scalp Bumps: When to See a Dermatologist - Dermatology

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There is something on the scalp?


I would like to ask the doctor, recently I noticed a small raised area on my scalp, but it doesn't hurt when I press on it.
I'm not sure what it could be.
I wash my hair daily, and my routine has been the same as usual without any changes.
I'm just wondering why this is happening.
Should I see a dermatologist for an examination?

Baozi, 20~29 year old female. Ask Date: 2016/03/27

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it cannot be confirmed.
If it is causing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/03/27

More Info


When it comes to scalp bumps, it’s important to understand that they can arise from a variety of causes, ranging from benign to more serious conditions. Given your description of a small, non-painful bump on your scalp that you’ve noticed recently, it’s wise to consider a few possibilities before deciding whether to see a dermatologist.

Firstly, the bump could be a sebaceous cyst, which is a common, benign growth that occurs when a sebaceous gland becomes blocked. These cysts are usually painless and can feel soft or firm to the touch. They often appear as small, round lumps under the skin. Another possibility is a follicular cyst, which can occur when hair follicles become clogged. These too are generally not painful unless they become inflamed or infected.

Another common cause of scalp bumps is folliculitis, which is the inflammation of hair follicles. This can be caused by bacterial or fungal infections, irritation from shaving, or even friction from hats or helmets. Folliculitis may present as small red or white bumps and can sometimes be itchy or tender, but it can also be painless.

If the bump is firm and does not change in size or appearance over time, it is likely benign. However, if you notice any changes, such as increased size, redness, pain, or if it starts to drain fluid, it would be prudent to seek medical attention. Additionally, if you experience any other symptoms such as itching, hair loss, or scaling of the scalp, these could indicate a more serious condition, such as psoriasis or a scalp infection, which would warrant a visit to a dermatologist.

In general, it is advisable to consult a dermatologist if:
1. The bump persists for more than a few weeks without improvement.

2. You notice any changes in the bump, such as increased size, pain, or discharge.

3. You experience additional symptoms like itching, redness, or hair loss.

4. You have concerns about the appearance of the bump or if it affects your quality of life.

A dermatologist can provide a thorough examination and may perform a biopsy if necessary to determine the exact nature of the bump. They can also recommend appropriate treatment options, which may include topical medications, drainage of cysts, or other interventions depending on the diagnosis.

In conclusion, while many scalp bumps are harmless and may not require immediate attention, it’s always better to err on the side of caution. If you have any doubts or concerns about the bump on your scalp, especially since it is a new development, scheduling an appointment with a dermatologist is a wise decision. They can provide you with peace of mind and ensure that any potential issues are addressed promptly.

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