Skin Bumps: When to Seek Dermatological Advice

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There are areas on my hands and feet that have a bumpy texture similar to goosebumps, but they do not go away.
Should I get this checked? What could this be? Additionally, my hands have small red spots; what does this indicate? I also have some granular spots in my ears that can be scraped off, but they reappear after a while.
What could this situation be? Can you provide a general overview of my condition? Is it serious? Will I need surgery?

KK, 10~19 year old female. Ask Date: 2011/05/08

Dr. Guo Fengsheng reply Dermatology

1.
The areas on the hands and feet that have a bumpy texture resembling chicken skin are likely keratosis pilaris, which is benign; however, a definitive diagnosis should be made at a hospital or clinic.
2.
The presence of red spots on the hands could indicate a variety of conditions, and a diagnosis should be confirmed at a hospital or clinic.
3.
The granular lesions on the ears could also represent numerous potential conditions, necessitating a diagnosis at a hospital or clinic.
It is advisable to seek a professional evaluation at a hospital or clinic for your condition.

Reply Date: 2011/05/08

More Info

When it comes to skin bumps and irregularities, it's essential to understand the underlying causes and when to seek professional dermatological advice. Based on your description, it seems you are experiencing several skin issues, including bumps resembling "chicken skin," red spots on your hands, and granular formations on your ears that reappear after being scraped off. Let's break down these symptoms and discuss their potential implications.

1. Keratosis Pilaris (Chicken Skin): The bumps you describe as resembling "chicken skin" are likely a condition known as keratosis pilaris. This common skin condition occurs when keratin, a protein in the skin, forms hard plugs within hair follicles. It often appears on the upper arms, thighs, cheeks, and buttocks and is usually harmless. While it can be persistent and may not completely disappear, it often improves with regular exfoliation and moisturizing. If the appearance bothers you, a dermatologist can recommend treatments such as topical retinoids or chemical exfoliants.

2. Red Spots on Hands: The red spots on your hands could be due to various reasons, including allergic reactions, eczema, or even a mild infection. If these spots are itchy, inflamed, or persistent, it would be wise to consult a dermatologist. They can perform a thorough examination and possibly conduct patch testing to determine if an allergy is the cause.
3. Granular Bumps on Ears: The granular formations on your ears that can be scraped off but reappear may indicate a condition such as seborrheic keratosis or a form of dermatitis. Seborrheic keratosis is a benign growth that can appear as a rough, scaly bump on the skin. If these bumps are not causing discomfort, they may not require treatment, but if they change in appearance, become painful, or multiply rapidly, it's essential to seek medical advice.

4. When to Seek Help: You should consider seeking dermatological advice if:
- The bumps or spots change in color, size, or shape.

- You experience significant itching, pain, or discomfort.

- The symptoms persist despite home treatment (like moisturizers or over-the-counter creams).

- You notice any new symptoms, such as bleeding or oozing from the bumps.

5. Potential Severity: While many skin conditions are benign, some can indicate underlying issues that may require treatment. A dermatologist can provide a proper diagnosis and treatment plan tailored to your specific situation.
6. Surgical Intervention: Surgery is typically not necessary for benign skin conditions unless they are causing significant discomfort or cosmetic concerns. Procedures like cryotherapy, laser therapy, or excision may be options for certain skin lesions, but these decisions are best made in consultation with a dermatologist.

In conclusion, while some of your symptoms may be benign and manageable at home, it is crucial to monitor them closely. If you have any concerns about the severity of your skin issues or if they are affecting your quality of life, do not hesitate to seek professional advice. A dermatologist can provide a thorough evaluation and recommend appropriate treatments to help you achieve healthier skin.

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