Temporary Skin Lumps: When to Seek Medical Advice - Dermatology

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Skin issues


Hello doctor, I would like to ask about a hard lump that appears on my back.
It is not painful or itchy, and it typically appears for a few hours before disappearing.
After it disappears, it leaves a faint brown mark.
This has happened two or three times.
I usually notice the lump at night, and by the morning, it is gone.
The lump is not very hard to the touch and can be moved.
I would like to know what this could be and whether I should continue to observe it or seek medical attention.
Thank you.

Nana, 20~29 year old female. Ask Date: 2022/01/17

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.
A proper examination is necessary to understand the problem and to determine the appropriate course of action.

Reply Date: 2022/01/17

More Info


When it comes to understanding temporary skin lumps, it’s essential to consider several factors, including the characteristics of the lump, its duration, and any associated symptoms. Based on your description, it seems that you are experiencing a transient lump on your back that appears and disappears within a few hours, without pain or itching, and leaves a faint brown mark after it fades.
These types of lumps can be benign and may be related to various conditions. One possibility is that they could be dermatological manifestations such as hives (urticaria), which can appear as raised welts on the skin and typically resolve quickly. Hives are often triggered by allergens, stress, or even temperature changes. Another possibility is that these lumps could be related to a form of angioedema, which involves deeper layers of the skin and can also resolve rapidly.

Given that the lump is movable and not hard, it may also be a lipoma, which is a benign tumor made of fat tissue. However, lipomas usually do not disappear quickly, so this is less likely in your case. Another consideration could be a cyst, which can sometimes feel soft and may fluctuate in size, but again, they typically do not resolve so quickly.

Since you mentioned that the lumps have been recurring over the past few weeks, it is advisable to monitor their frequency and any changes in their characteristics. If the lumps start to become painful, increase in size, or if you notice any other concerning symptoms such as fever, significant changes in skin color, or if they start to itch, it would be prudent to seek medical advice.

In general, if you are uncertain about the nature of the lumps or if they cause you concern, it is always best to consult a healthcare professional. A dermatologist would be particularly well-suited to evaluate your skin condition. They may perform a physical examination and, if necessary, order further tests such as a skin biopsy or imaging studies to rule out any underlying conditions.

In summary, while your symptoms may not indicate an immediate cause for alarm, it is essential to remain vigilant. Keep track of the occurrences, and if there are any changes or if you feel uncomfortable, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes and peace of mind.

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