Fibrosis: Causes, Symptoms, and Prevention Tips - Dermatology

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Please ask again about the issue of fibrosis?


Dr.
Chen: Thank you very much for your response.
^^ My fibrous tissue is located on the middle right side of the dorsum of my left foot (not on the sole).
Can this condition be determined as fibrosis or granulation tissue? Is this type of condition common? (Because I have never experienced this before @@, will I develop this kind of tissue every time I get injured in the future?) Is there anything I need to pay attention to in order to avoid this? P.S.
Sometimes it gets rubbed when I wear flip-flops.
Thank you again for your response ^________^
--------------- Below is my previous question and your response ---------------
Your question: Hello, doctor: Recently, I scraped my foot while wearing flip-flops, but I didn't apply any medication.
After a day, I suddenly noticed that the original scrape had turned into something that looked like a blister, and upon closer inspection, there was a small protrusion of tissue.
Today, I went to see a doctor, who said it had become fibrotic and asked if there were any signs of it getting larger.
Since I hadn't paid attention before, I wasn't quite sure @@ The doctor said to observe it.
(I did not pick at it.) May I ask why fibrosis occurs? What should I pay attention to in order to avoid this situation in the future? (This is the first time this has happened.) If it does get larger, what will happen? Will it need to be removed? Is this type of fibrosis a serious condition? Thank you again for taking the time to answer my questions amidst your busy schedule, thank you ^^
Response from the doctor: Dermatologist, Dr.
Chen Yi-Ying suggests: Hello, regarding your question: I'm not sure which part of your foot the tissue (i.e., fibrosis) or granulation tissue is located.
If it does not affect your mobility and is not frequently rubbed, you can observe it without treatment.
However, if it increases in size or becomes painful, then you should consider treatment, such as excision, which can be sent for pathological examination to determine if it is a fibroma.
The diagnosis also relies on pathological evaluation.
If the clinician judges it to be benign based on experience, methods such as electrosurgery or cryotherapy can be considered to directly destroy it.
As for using breathable tape, it is likely ineffective.

Xiao Shan Cun, 20~29 year old female. Ask Date: 2002/09/26

Dr. Chen Yiying reply Dermatology


Hello: In response to your question: Such lesions are not uncommon.
Fibrous tissue is usually softer in texture, while granulation tissue is more prone to bleeding, which can be a simple way to differentiate between them.
In case a wound forms, it is important to take protective measures or apply ointment to prevent infection and avoid excessive friction on the wound and scar, which should help prevent its formation.
I hope you will still allow a physician to examine and treat you directly for a more definitive answer.

Reply Date: 2002/09/26

More Info


Fibrosis, particularly in the context of skin lesions, refers to the thickening and scarring of connective tissue, which can occur as a response to injury or inflammation. In your case, the small growth on your left foot, described as resembling a blister, could be indicative of fibrosis or granulation tissue. Granulation tissue is a normal part of the healing process, characterized by new connective tissue and microscopic blood vessels that form on the surface of a wound.


Causes of Fibrosis
Fibrosis can occur due to various reasons, including:
1. Injury: When the skin is injured, the body initiates a healing response. If the healing process is prolonged or excessive, it can lead to fibrosis.

2. Chronic Inflammation: Conditions that cause ongoing inflammation can also lead to fibrosis. This can be due to infections, autoimmune diseases, or persistent irritation.

3. Genetic Factors: Some individuals may have a genetic predisposition to develop fibrotic tissue in response to injury.

4. Environmental Factors: Exposure to certain chemicals or irritants can also contribute to the development of fibrotic tissue.


Symptoms
The symptoms of fibrosis can vary depending on the location and extent of the fibrotic tissue. In the case of skin fibrosis, you might notice:
- A raised, firm area on the skin.

- Changes in color or texture of the skin.

- Possible tenderness or discomfort, especially if the area is frequently irritated.


Prevention Tips
To prevent the development of fibrosis or to minimize its progression, consider the following tips:
1. Protect Injured Areas: If you have a wound, keep it clean and protected. Avoid wearing shoes that may rub against the area, such as flip-flops or sandals that do not provide adequate coverage.

2. Moisturize: Keeping the skin moisturized can help promote healing and reduce the risk of excessive scarring.

3. Avoid Irritation: Be mindful of activities that may irritate the area, such as prolonged exposure to friction or pressure.

4. Monitor Changes: Keep an eye on the growth. If it changes in size, color, or becomes painful, seek medical advice promptly.


When to Seek Medical Attention
If you notice that the fibrotic tissue is increasing in size, becoming painful, or showing signs of infection (such as redness, warmth, or discharge), it is important to consult a healthcare professional. They may recommend further evaluation, which could include:
- Biopsy: To determine the nature of the tissue and rule out any malignancy.

- Treatment Options: Depending on the diagnosis, treatment options may include surgical removal, cryotherapy, or other modalities to reduce the fibrotic tissue.


Conclusion
While fibrosis itself is not typically classified as a serious disease, it can indicate an underlying issue that may require attention. The key is to monitor the growth and take preventive measures to avoid further complications. If you have concerns about the growth on your foot or if it continues to change, it is advisable to follow up with a dermatologist or healthcare provider for a thorough assessment and appropriate management.

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