fingertip
Hello Doctor, I would like to ask you about a transparent small dot I found on my right thumb.
It is very small and not protruding, seeming to be under the skin, located between the fingerprints (the fingerprints are not covered and appear normal).
It is not easily visible to the naked eye; I can only see it when I shine a flashlight on it (the shadow reveals a hole-like appearance).
I have no sensation from it, and it has not changed in size or quantity for a month.
I would like to ask a few questions: 1.
Is it possible that this is a normal skin growth? 2.
Could it be a viral wart? However, since there are fingerprints, it doesn't seem likely.
3.
Could it be a small blister from eczema? But it hasn't disappeared.
4.
Do viral warts have skin markings?
i, 20~29 year old female. Ask Date: 2022/11/19
Dr. Wu Yuxin reply Dermatology
It is recommended to seek medical attention for a consultation with a dermatologist, as online advice cannot resolve your issues.
Reply Date: 2022/11/19
More Info
The presence of a transparent bump on your finger, particularly on the thumb, can be concerning, especially when it appears under the skin and is not easily visible without the aid of a flashlight. Given your description, let's explore the potential causes and concerns associated with this condition.
1. Normal Skin Growths: It is possible that what you are observing is a normal skin growth, such as a sebaceous cyst or a small epidermoid cyst. These types of cysts are generally harmless and can appear as small bumps under the skin. They often do not cause any symptoms unless they become inflamed or infected. If the bump has not changed in size or appearance over the past month and is not causing any discomfort, it may simply be a benign growth.
2. Viral Warts (Verrucae): Viral warts are caused by the human papillomavirus (HPV) and can appear as small, rough bumps on the skin. They can sometimes have a transparent or skin-colored appearance, but they typically have a rough surface and may feel different from the surrounding skin. Warts can also have tiny black dots within them, which are small blood vessels. Given that your bump is smooth and does not have the typical characteristics of a wart, it seems less likely to be a viral wart, especially since you mentioned it does not disrupt the fingerprint pattern.
3. Eczema or Dermatitis: Conditions like eczema can lead to the formation of small blisters or bumps on the skin. However, these usually come with additional symptoms such as itching, redness, or scaling. Since you mentioned that the bump is not itchy and has not changed, it is less likely to be related to eczema or dermatitis.
4. Characteristics of Warts: Warts can indeed have a texture that resembles the surrounding skin, but they often disrupt the normal skin pattern. If a wart were to form in the area of your fingerprint, it might still present some irregularities in the texture or appearance of the skin.
Given these considerations, here are some recommendations:
- Observation: Since the bump has not changed in size or appearance over the past month and is asymptomatic, it may be reasonable to continue monitoring it for any changes. If it remains stable, it may not require immediate intervention.
- Consultation with a Dermatologist: If you have any concerns about the bump or if it changes in appearance, size, or begins to cause discomfort, it would be wise to consult a dermatologist. They can perform a physical examination and may recommend a biopsy or other diagnostic tests if necessary.
- Avoid Self-Diagnosis: While it is helpful to gather information, self-diagnosing can lead to unnecessary worry. Professional evaluation is the best way to determine the nature of the bump and whether any treatment is needed.
In summary, while the bump you described could potentially be a normal skin growth, the best course of action is to keep an eye on it and seek professional advice if you notice any changes or if you have ongoing concerns. Remember that early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly.
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