Hard Bumps on the Skin: Possible Causes and When to Seek Help - Dermatology

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When it comes to hard bumps on the skin, especially in the area around the temple, there are several possible causes that should be considered. Given your father's age and the characteristics of the bump you described, it's important to approach this situation with caution and seek appropriate medical advice.


Possible Causes
1. Sebaceous Cyst: These are common benign lumps that can occur when a hair follicle becomes blocked. They are usually painless but can become itchy or inflamed.

2. Lipoma: A lipoma is a benign tumor made of fat tissue. These are generally soft, movable, and painless, but they can sometimes feel firm depending on their location.

3. Dermatofibroma: This is a benign growth that often appears as a small, firm bump on the skin. They can be itchy or tender and are usually harmless.

4. Keloids: These are raised scars that can develop after an injury or surgery. They can be itchy and may grow larger than the original wound.

5. Skin Cancer: Although less common, any new or changing bump on the skin should be evaluated for the possibility of skin cancer, especially if it has changed in size, shape, or color.

6. Infection: Sometimes, infections can lead to localized swelling and hardening of the skin, often accompanied by redness, warmth, and pain.


When to Seek Help
Given that the bump has been increasing in size and has caused some itching, it is advisable to seek medical attention. Here are some guidelines on when to see a doctor:
- Rapid Growth: If the bump is growing quickly, this warrants further investigation.

- Persistent Symptoms: If the bump continues to itch or becomes painful, it should be evaluated.

- Changes in Appearance: Any changes in color, shape, or texture should be assessed by a healthcare professional.

- Associated Symptoms: If there are other symptoms such as fever, drainage, or systemic symptoms (like fatigue or weight loss), it is crucial to seek medical attention.


Which Specialist to See
For skin-related issues, the best course of action is to consult a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination, possibly perform a biopsy if necessary, and offer a diagnosis and treatment plan.


Conclusion
In summary, while there are several benign causes for hard bumps on the skin, it is essential to have any new or changing skin lesions evaluated by a healthcare professional. Given your father's symptoms and the characteristics of the bump, a visit to a dermatologist is recommended. They will be able to provide a proper diagnosis and determine if any treatment is necessary. Early intervention can often lead to better outcomes, especially if there is any concern regarding skin cancer or other serious conditions.