Subcutaneous Growths on Fingers: Causes and Treatments - Dermatology

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Subcutaneous growth on the finger?


Doctor, I originally had an unknown growth under the skin on my toe that would hurt when pressed.
I would often use scissors to cut and dig at it, which would bring out small black dots, but it would continue to grow back.
Eventually, it would heal on its own.
However, now I have a similar issue under the skin at the edge of my fingernail.
The material that comes out is small white dots, and after digging them out, the pain subsides.
But as the wound heals, the pain gradually returns, and it starts to grow back under the skin again.

ALAN, 30~39 year old female. Ask Date: 2012/10/02

Dr. Li Yufen reply Dermatology


Hello: Based on the description, it is not possible to determine the specific disease.
It is recommended to consult a nearby dermatologist for an accurate diagnosis and treatment.
Thank you.
Wishing you peace and happiness.

Reply Date: 2012/10/02

More Info


Understanding subcutaneous growths on fingers can be quite concerning, especially when they cause pain or discomfort. Based on your description, it seems you are experiencing some form of subcutaneous lesion or growth that has appeared on both your toes and fingers. These growths can vary in nature and may include conditions such as warts, cysts, or even ingrown nails, among others.

Possible Causes
1. Warts: These are benign growths caused by the human papillomavirus (HPV). They can appear anywhere on the body, including fingers and toes. Warts can be painful, especially if they are located in areas that experience pressure or friction.

2. Cysts: These are fluid-filled sacs that can develop under the skin. They are generally harmless but can become painful if they become inflamed or infected.

3. Ingrown Nails: If the growth is near the nail bed, it could be related to an ingrown nail, where the nail grows into the surrounding skin, causing pain and sometimes infection.

4. Foreign Body Reaction: If you have been using scissors to "dig out" these growths, you may be causing a foreign body reaction, where the body reacts to the trauma and attempts to heal, leading to further growth.

5. Fungal Infections: Sometimes, fungal infections can cause changes in the skin or nails, leading to discomfort and abnormal growths.


Treatment Options
1. Avoid Self-Removal: While it may be tempting to cut or dig at these growths, this can lead to further irritation, infection, and scarring. It is essential to avoid self-treatment and seek professional help.

2. Consult a Dermatologist: A dermatologist can provide a proper diagnosis and treatment plan. They may perform a biopsy if necessary to determine the exact nature of the growths.

3. Topical Treatments: For warts, over-the-counter treatments containing salicylic acid can be effective. For other types of growths, your doctor may prescribe topical medications or recommend other treatments.

4. Surgical Removal: If the growths are persistent and painful, your doctor may suggest surgical removal. This is often done under local anesthesia and can provide immediate relief.

5. Maintain Good Hygiene: Keeping the affected area clean and dry can help prevent infections. Avoiding tight footwear and ensuring proper nail care can also reduce the risk of ingrown nails.

6. Monitor for Changes: Keep an eye on the growths for any changes in size, color, or pain level. If they worsen or new symptoms develop, seek medical attention promptly.


Conclusion
In summary, subcutaneous growths on fingers and toes can arise from various causes, and while some may resolve on their own, others may require medical intervention. It is crucial to avoid self-treatment and consult a healthcare professional for an accurate diagnosis and appropriate treatment. By doing so, you can ensure that any underlying issues are addressed and that you receive the best care possible for your condition.

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