Impact of Abraded Moles: What to Know After Injury

The mole has been scratched?

Hello Doctor: Yesterday, my husband's shirt collar rubbed against a raised mole on the back of his neck, causing it to bleed.
Later that evening, he accidentally scratched it while showering, and it bled again.
What could be the potential effects of this? Thank you for your response! Concerned wife.

Danxin de taitai, 30~39 year old female. Ask Date: 2004/10/27

Dr. Jiang Zheen reply Dermatology

If the mole has not changed in size or color, it is generally not a cause for concern.
However, if these symptoms persist for 3-4 weeks, it would be advisable to visit a dermatologist for evaluation.
Wishing you peace and may God bless you.

Reply Date: 2004/10/27

More Info

When it comes to the impact of an abraded mole, especially one that has been injured and bled, there are several important considerations to keep in mind. First and foremost, it is essential to understand the nature of moles (nevi) and how they can be affected by trauma.

Moles are clusters of pigmented cells (melanocytes) that can vary in size, shape, and color. They are generally benign, but any changes in their appearance or texture can be a cause for concern. When a mole is abraded or injured, as in your husband's case, there are a few potential outcomes and considerations:
1. Bleeding and Infection: The immediate concern with an abraded mole is the risk of bleeding and infection. If the mole was bleeding, it is crucial to clean the area gently with mild soap and water and apply a sterile bandage to protect it. Keeping the area clean and dry is essential to prevent infection. If there are signs of infection, such as increased redness, swelling, warmth, or pus, it is important to seek medical attention.

2. Changes in Appearance: After an injury, a mole may change in appearance. This can include changes in color, size, or texture. If the mole appears to be healing normally, this may not be a cause for concern. However, if you notice any unusual changes, it is advisable to consult a dermatologist for further evaluation.

3. Potential for Scarring: Depending on the severity of the abrasion, there may be a risk of scarring. Proper wound care can minimize this risk. Once the area has healed, silicone gel sheets or scar creams may be recommended to help reduce the appearance of scars.

4. Monitoring for Changes: It is essential to monitor the mole over the next few weeks. If it becomes asymmetrical, has irregular borders, changes in color, or if new symptoms arise (such as itching or pain), it is crucial to seek medical advice. These could be signs of a more serious condition, such as melanoma, which is a type of skin cancer.

5. Follow-Up with a Dermatologist: Given that the mole was abraded and has bled, it would be prudent to schedule an appointment with a dermatologist. They can assess the mole and determine if any further action is necessary, such as a biopsy to rule out any malignancy.

In summary, while an abraded mole can often heal without complications, it is essential to monitor the area closely for any changes and to maintain proper wound care to prevent infection. If there are any concerns about the mole's appearance or if it does not heal properly, seeking professional medical advice is the best course of action. Your husband's health and safety are paramount, and a dermatologist will provide the most accurate assessment and guidance.

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