Unusual Skin Growths on Your Hands: When to Seek Help - Dermatology

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I have developed something strange on my hand?


Hello Dr.
Hong,
I recently noticed small, hard, transparent bumps on a specific area of my palm.
They are very concentrated and protruding, but they do not hurt when pressed.
I had a similar experience a while ago with one or two bumps on my mouth that lasted for a long time.
Once, I used a sterilized needle to remove one, and it disappeared, leaving a very subtle scar that looks like a small indentation.

Could you please advise if this condition is concerning? Do I need to seek medical attention? However, I have not noticed any other abnormalities in my body.
Additionally, I would like to ask:
1.
If I did not use sunscreen from ages 21 to 22 but have been diligent about it since, will this effectively reduce the likelihood of developing age spots?
2.
I have calluses on the heels of my feet.
How can I improve this condition? Is it related to the type of shoes I wear or something else?
Thank you for your answers.

Wen, 20~29 year old female. Ask Date: 2008/03/02

Dr. Hong Zhengsheng reply Dermatology


Hello, Min:
Q: In your letter, you mentioned, "I recently discovered something on my palm..."
A: "Finding a trusted dermatologist for an in-person consultation" is the best advice for you.
I apologize, but based on your description, I cannot determine your specific condition.
Answers found online can only speculate based on the description and experience, and cannot provide the precise diagnosis and treatment that an in-person visit can.
Q: In your letter, you mentioned, "If I didn't use sunscreen at ages 21-22..."
A: Proper use of sunscreen is beneficial for preventing skin aging.
Q: In your letter, you mentioned, "I have hard skin on the heel of my foot..."
A: Conditions such as tinea, abnormal keratinization, and eczema-related issues are all possible causes.
I apologize for not being able to make a diagnosis based solely on your description.
"Finding a trusted dermatologist for an in-person consultation" is the best advice for you.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your county or city and consult with a dermatologist.
All the physicians in our department are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2008/03/02

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the unusual skin growths on your hands and other related skin issues. It’s important to address these matters carefully, as skin conditions can vary widely in their nature and implications.


Understanding Your Skin Growths
The small, hard, and transparent nodules you describe on your palms could potentially be a variety of benign skin conditions. Common possibilities include:
1. Seborrheic Keratosis: These are non-cancerous growths that can appear as small, raised bumps on the skin. They are usually painless and can vary in color from light tan to black.

2. Warts: Caused by the human papillomavirus (HPV), warts can appear as small, rough bumps. They can be hard and may not cause pain unless they are irritated.

3. Milia: These are small, white cysts that can appear on the skin, often around the eyes or cheeks, but can occur elsewhere. They are usually harmless and often resolve on their own.

4. Keratosis Pilaris: This condition causes small, gooseflesh-like bumps, often on the arms and thighs, but can also occur on the hands. It is due to the buildup of keratin in hair follicles.

Given that you have previously experienced similar growths on your lips and successfully removed them, it’s advisable to monitor these new growths. If they change in size, color, or shape, or if you experience any discomfort, it would be prudent to consult a dermatologist for a thorough evaluation. They can provide a definitive diagnosis and recommend appropriate treatment options if necessary.


When to Seek Help
You should seek medical advice if:
- The growths become painful, itchy, or inflamed.

- You notice any changes in the appearance of the growths.

- New growths appear rapidly or in large numbers.

- You have concerns about skin cancer or other serious conditions.


Addressing Your Other Concerns
1. Sun Protection and Hyperpigmentation: Regarding your question about sun protection, it is indeed beneficial to start using sunscreen at any age. While previous sun exposure can contribute to the development of sunspots or hyperpigmentation, consistent use of broad-spectrum sunscreen can help prevent further damage and reduce the risk of new spots forming. Additionally, using products with antioxidants and brightening agents (like vitamin C) can also help improve skin tone over time.

2. Hard Skin on Heels: The hard skin on your heels, often referred to as calluses, can be caused by several factors, including:
- Footwear: Ill-fitting shoes can lead to increased pressure on certain areas of the feet, causing thickening of the skin.

- Activities: High-impact activities or prolonged standing can also contribute to callus formation.

- Dry Skin: Lack of moisture can lead to hard, cracked skin.

To improve this condition, consider the following:
- Moisturizing: Regularly apply a thick moisturizer or a specialized foot cream containing urea or salicylic acid to soften the skin.

- Exfoliation: Gently exfoliate the area with a pumice stone or foot file after bathing to remove dead skin.

- Proper Footwear: Ensure that your shoes fit well and provide adequate support.


Conclusion
In summary, while the growths on your hands may not be immediately concerning, monitoring them and seeking professional advice if they change is wise. Additionally, adopting sun protection measures and caring for your feet can significantly improve your skin health. If you have any further questions or concerns, please do not hesitate to reach out.

Best wishes for your skin health,
Doctor Q&A Teams

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