Identifying Unusual Skin Growths on Infants: A Guide for Parents - Dermatology

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Foreign object in an infant's head?


Hello Doctor: My child is currently 1 month and 1 week old.
There is an abnormality on the head that I would like you to evaluate.
This abnormality has been present since birth, but I have recently noticed some changes.
Here are the images from when he was born: https://app.box.com/s/3uqzukzsd2p2cy9w4kxg2wk7ra6qmf1c and at 1 month and 1 week: https://app.box.com/s/sce1oihykk0xnrk4zh91of19n1ls1tyk.
I would like you to identify what this is and how it should be managed.
Thank you.

Mr. Shi, 30~39 year old female. Ask Date: 2020/09/12

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "physicians must personally examine patients before administering treatment or prescribing medications," and therefore, online diagnosis is not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/09/12

More Info


When it comes to unusual skin growths on infants, it is essential for parents to approach the situation with caution and seek professional medical advice. Skin conditions in infants can vary widely, and while some may be benign, others could require further investigation.
In your case, you mentioned that your child has had a skin growth on the head since birth, which has recently changed. This is a critical point to consider, as any change in size, color, or texture of a skin lesion can indicate a need for further evaluation.
Infants can develop various types of skin lesions, including but not limited to:
1. Nevus (Moles): These are common and can appear at birth or develop over time. Most moles are harmless, but any changes should be monitored.

2. Seborrheic Keratosis: This is a benign growth that can appear as a brown or black spot on the skin. They are usually harmless but can be mistaken for other conditions.

3. Hemangiomas: These are benign tumors made up of blood vessels and can appear as red or purple marks on the skin. They often grow rapidly in the first year of life and may eventually shrink.

4. Milia: These are small, white cysts that can appear on an infant's face, often mistaken for acne. They are harmless and usually resolve on their own.

5. Epidermal Nevus: This is a type of skin growth that can be present at birth and may change over time. It can vary in appearance and may require monitoring.

6. Dermatofibromas: These are small, firm nodules that can appear on the skin. They are usually harmless but can be removed if bothersome.

Given that the growth has changed since birth, it is crucial to have it evaluated by a pediatric dermatologist. They can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the growth.
In terms of management, it is essential to avoid any home remedies or over-the-counter treatments without professional guidance, as this could potentially irritate the skin or worsen the condition.
Additionally, keep an eye on any accompanying symptoms, such as redness, swelling, or discharge, which could indicate infection or other complications. If your child experiences any discomfort or if the growth appears to be causing issues, seek medical attention promptly.

In summary, while many skin growths in infants are benign, any changes in existing lesions warrant professional evaluation. A pediatric dermatologist will be able to provide a definitive diagnosis and recommend appropriate management strategies tailored to your child's specific needs. Always prioritize professional medical advice over online resources, as they can provide personalized care based on a thorough examination.

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