Skin Bumps: What Could That Blister-Like Growth Be? - Dermatology

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Blister-like?


Hello, doctor.
I have developed a raised lesion on the sole of my foot that resembles a blister.
When I first noticed it, I thought it was a blister, and since I know it's better not to pop blisters, I left it alone for a few days.
However, it remained unchanged, and the surface felt different from a typical blister; it had a bit of firmness to it.
Eventually, I decided to pop it, but instead of the expected bleeding or fluid, there was a small white point in the swollen center.
I continued to squeeze it and ended up extracting four small, pimple-like particles, after which the area returned to being flat.
During the squeezing process, I applied quite a bit of pressure, which didn't hurt, but separating the extracted particles from the skin was painful and caused some bleeding, although it stopped quickly.
The issue is now resolved, but I'm very curious about what this condition might be.
Could you please clarify for me?

Niming, 20~29 year old female. Ask Date: 2015/08/20

Dr. Wu Yuxin reply Dermatology


Based on the literal description, it is not possible to confirm without actually seeing the lesion.
It is recommended to have a physician evaluate it for a proper diagnosis.

Reply Date: 2015/08/20

More Info


Based on your description, it sounds like you may have experienced a condition known as a "sebaceous cyst" or possibly a type of "keratosis." These skin bumps can often resemble blisters or water-filled sacs, but they have different characteristics and underlying causes.

Sebaceous cysts are non-cancerous lumps that can form under the skin. They are typically filled with a substance called keratin, which is a protein found in skin, hair, and nails. These cysts can feel firm or rubbery to the touch and may not always be painful unless they become inflamed or infected. The white point you noticed after squeezing could have been keratin or sebum that was expelled from the cyst. It's important to note that while these cysts are generally harmless, they can become problematic if they become infected or if they rupture, leading to inflammation and discomfort.

On the other hand, if the bumps you experienced were more like small, hard, white or yellowish spots that resemble pimples, it could indicate a condition known as "keratosis pilaris." This is a common skin condition characterized by small, gooseflesh-like bumps, often found on the arms, thighs, and sometimes on the feet. These bumps are caused by the buildup of keratin, which can block hair follicles. While keratosis pilaris is harmless and often resolves on its own, it can be treated with exfoliating creams or lotions containing ingredients like urea or alpha hydroxy acids to help smooth the skin.

In your case, since you mentioned that the bumps were firm and you experienced some bleeding when trying to extract them, it’s crucial to be cautious. Squeezing or picking at skin lesions can lead to scarring, infection, or further irritation. If you notice any signs of infection, such as increased redness, swelling, warmth, or pus, it would be advisable to consult a healthcare professional for an evaluation.

If the bumps reappear or if you have concerns about your skin, it would be wise to see a dermatologist. They can provide a definitive diagnosis and recommend appropriate treatments, which may include topical medications or procedures to remove cysts or other lesions if necessary.

In summary, while it sounds like you have resolved the immediate issue, it’s essential to monitor your skin for any changes and avoid manipulating any skin lesions in the future. Maintaining good skin hygiene and using non-comedogenic products can also help prevent the formation of similar bumps. If you have any further questions or concerns, don't hesitate to reach out to a healthcare provider for personalized advice.

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