New Moles: Causes and Concerns for Skin Health - Dermatology

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Mole issues


Hello doctor, I would like to ask about the sudden appearance of 5-6 moles on my limbs and face in the past month or two.
Some are black and some are brown, and they vary in size.
I am currently taking thyroid medication - Antithyroid.
Could this be related? I started taking the medication 3 months ago, and I also have a tendency to develop moles easily.
Could it also be related to the laser hair removal treatment I have undergone (which has been 5-6 sessions)?

HUA, 20~29 year old female. Ask Date: 2016/04/25

Dr. Wu Yuxin reply Dermatology


Most moles are related to individual physiology.
If they are causing significant concern, please seek medical attention promptly.

Reply Date: 2016/04/25

More Info


When it comes to the sudden appearance of new moles, especially in the context of existing health conditions and treatments, it's essential to approach the situation with caution and awareness. The emergence of 5-6 new moles on your arms and face over the past couple of months, particularly if they vary in color and size, warrants a thorough evaluation by a healthcare professional, preferably a dermatologist.


Potential Causes of New Moles
1. Hormonal Changes: Hormonal fluctuations can lead to changes in the skin, including the development of new moles. Since you mentioned taking a thyroid medication (likely levothyroxine), it's important to consider how hormonal balance can affect skin health. Thyroid hormones play a crucial role in regulating metabolism and can influence skin cell turnover and pigmentation.

2. Genetic Factors: If you have a family history of moles or skin conditions, your genetic predisposition may play a significant role in the development of new moles. Some individuals are naturally more prone to developing moles, particularly if they have a lighter skin type.

3. Sun Exposure: Ultraviolet (UV) radiation from the sun can stimulate the production of melanin, leading to the formation of new moles. If you have been exposed to the sun without adequate protection, this could be a contributing factor.

4. Laser Hair Removal: While laser hair removal is generally safe, it can sometimes cause changes in pigmentation or skin texture, especially in individuals with sensitive skin. However, it is less likely to directly cause new moles.

5. Skin Conditions: Certain skin conditions or reactions can mimic or lead to the appearance of new moles. For example, benign growths like seborrheic keratosis can appear similar to moles.


Concerns Regarding New Moles
When assessing new moles, it is crucial to monitor them for the following characteristics, often referred to as the ABCDEs of melanoma:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole changes in size, shape, or color over time.

If any of these characteristics are present, or if you notice any itching, bleeding, or crusting, it is imperative to seek medical advice promptly.


Recommendations
1. Consult a Dermatologist: Given the recent changes in your skin, it is advisable to schedule an appointment with a dermatologist. They can perform a thorough examination and may recommend a biopsy if there are concerns about the nature of the moles.

2. Monitor Changes: Keep a close eye on the new moles and any changes in existing moles. Document their appearance and any changes over time, which can be helpful for your healthcare provider.

3. Sun Protection: Regardless of the cause, protecting your skin from UV exposure is crucial. Use broad-spectrum sunscreen with an SPF of 30 or higher, wear protective clothing, and seek shade when outdoors.

4. Review Medications: Discuss your current medications with your healthcare provider, including any potential side effects related to skin changes. They can provide insights into whether your thyroid medication may be influencing your skin health.

5. Healthy Skin Practices: Maintain a skincare routine that includes moisturizing and gentle cleansing. Avoid harsh products that could irritate your skin.

In summary, while the appearance of new moles can be benign, it is essential to approach this with caution, especially given your medical history and current treatments. A professional evaluation is the best course of action to ensure your skin health is monitored and managed appropriately.

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