Congenital Skin Marks: When to Seek Medical Advice

Congenital birthmarks

There is a raised lesion in my armpit that usually doesn't cause any issues, but occasionally it may darken and harden a little, which I can easily pull off.
However, in the past few days, it has been slightly painful, and when I squeeze it, it bleeds.
Just now, it has turned a purplish-red color.
What should I do about this?

Miss Huang, 20~29 year old female. Ask Date: 2022/05/01

Dr. Wu Yuxin reply Dermatology

It could be a polyp, and a dermatologist can handle it.

Reply Date: 2022/05/01

More Info

When it comes to congenital skin marks, such as the raised flesh you described under your armpit, it's essential to understand the nature of these growths and when to seek medical advice. Congenital skin marks can include a variety of conditions, such as moles, skin tags, or other benign growths. However, any changes in these marks, especially those that involve pain, bleeding, or color changes, warrant a closer examination by a healthcare professional.

From your description, it seems that the growth has recently become painful and has changed color to a purplish-red, which could indicate inflammation or even a potential injury to the area. While many skin marks are benign and may not require treatment, the symptoms you are experiencing suggest that it would be prudent to seek medical advice. Here are several reasons why:
1. Change in Characteristics: Any change in size, shape, color, or texture of a skin mark can be a sign of a more serious condition. The fact that your growth has become painful and has bled is particularly concerning. These changes could indicate irritation, infection, or other dermatological issues that need to be evaluated.

2. Potential for Infection: If the area is bleeding, there is a risk of infection. An infection can lead to further complications if not addressed promptly. Signs of infection may include increased redness, swelling, warmth, and pus formation. If you notice any of these symptoms, it is crucial to seek medical attention.

3. Differential Diagnosis: While many skin marks are harmless, some can be indicative of more serious conditions, including skin cancers. A healthcare provider can perform a thorough examination and, if necessary, a biopsy to determine the nature of the growth. This is particularly important if there is a family history of skin cancer or if the growth has characteristics that are atypical.

4. Treatment Options: Depending on the diagnosis, treatment options may vary. If the growth is benign but causing discomfort, a doctor may recommend removal. If it is infected, they may prescribe antibiotics or other treatments to manage the infection before considering any surgical options.

5. Monitoring: Even if the growth is determined to be benign, it is essential to monitor it for any further changes. Regular check-ups with a dermatologist can help ensure that any new developments are addressed promptly.

In summary, given the recent changes in your skin mark, including pain, bleeding, and color alteration, it is advisable to consult a dermatologist or healthcare provider as soon as possible. They can provide a proper assessment and guide you on the next steps, ensuring that any potential issues are addressed in a timely manner. Remember, it is always better to err on the side of caution when it comes to changes in your skin.

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