Mole Changes: When to Worry About Skin Irregularities

Changes in moles

Hello, Dr.
Wu! I often touch a mole on my face that is about 0.3 cm in size.
It has a slightly irregular shape, and recently it has been itchy, painful, and flaky, but it hasn't grown larger.
I read online that touching a mole might cause it to become inflamed.
I would like to ask Dr.
Wu if this is a sign of inflammation.
Thank you!

Yun, 10~19 year old female. Ask Date: 2024/01/03

Dr. Wu Yuxin reply Dermatology

Without seeing the actual lesion, it is impossible to determine if there is inflammation.
If you are concerned, please consult a nearby dermatologist for evaluation and treatment.

Reply Date: 2024/01/03

More Info

When it comes to changes in moles or skin irregularities, it is essential to approach the situation with caution and awareness. The symptoms you describe—itching, pain, flaking, and a slightly irregular shape—can indeed be concerning and warrant further evaluation.
Moles, or nevi, are common skin growths that can vary in color, size, and shape. While many moles are benign, changes in their appearance or sensation can indicate potential issues, including inflammation or, in some cases, malignancy. The fact that your mole is itching, painful, and flaky could suggest an inflammatory response, which might be due to irritation, trauma (such as frequent touching), or even an allergic reaction to products applied to the skin.

It is important to note that while touching or scratching a mole can lead to irritation, it does not typically cause a mole to become cancerous. However, any changes in a mole's characteristics should be taken seriously. The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color over time.

In your case, the irregularity in shape and the presence of symptoms like itching and flaking could be a sign that you should consult a dermatologist. They can perform a thorough examination and may recommend a biopsy if they suspect any atypical changes.
In the meantime, it is advisable to avoid touching or scratching the mole to prevent further irritation. Keeping the area clean and avoiding harsh products or excessive sun exposure can also help minimize irritation. If you notice any additional changes, such as increased size, bleeding, or persistent pain, seek medical attention promptly.

In summary, while some changes in moles can be benign, the symptoms you are experiencing suggest that it is prudent to consult a healthcare professional. Early detection and intervention are key in managing any potential skin issues effectively. Always prioritize your skin health and do not hesitate to seek expert advice when in doubt.

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