Skin Nerve Pain: Is It Related to Your Mole?

Neuropathic pain of the skin?

I have a mole on my face that previously exhibited symptoms of acne.
Recently, it became inflamed, was painful when pressed, and slightly swollen.
It eventually subsided, and a physician examined it, indicating that the results were normal.
Today, the skin underneath has changed, and I experience neuropathic pain in the vicinity of the trigeminal nerve without any direct contact, which occurs intermittently.
Is this related to the mole? Additionally, for my peace of mind, can a dermatoscope confirm whether the mole has any pathological changes, or is the simple ABCDE rule sufficient?

Andy, 20~29 year old female. Ask Date: 2015/09/08

Dr. Wu Yuxin reply Dermatology

If you're still feeling uneasy, it's advisable to undergo a biopsy.
Additionally, moles are not painful, so you should consult a neurosurgeon to rule out trigeminal neuralgia.

Reply Date: 2015/09/08

More Info

Understanding skin nerve pain can be complex, especially when it involves areas like the face where the trigeminal nerve is prominent. The symptoms you describe—pain in the area of a mole that has previously been inflamed—could potentially be related to nerve pain, but it is essential to consider several factors.

Firstly, the trigeminal nerve is responsible for sensation in the face, and it can be affected by various conditions, including inflammation, trauma, or even certain skin lesions. If the mole you mentioned was previously inflamed, it could have caused irritation or damage to the surrounding nerve pathways, leading to the pain you are experiencing. This type of pain is often described as neuropathic pain, which can manifest as sharp, shooting, or burning sensations in the affected area.

Regarding the mole itself, it is crucial to monitor any changes in its appearance or sensation. The ABCDE method (Asymmetry, Border, Color, Diameter, Evolving) is a widely accepted guideline for assessing moles for potential malignancy. If a mole exhibits any of these concerning features, it is advisable to seek further evaluation from a dermatologist.
Using a dermatoscope (skin microscope) can provide a more detailed view of the mole and help in identifying any atypical features that may not be visible to the naked eye. This tool can enhance the accuracy of the diagnosis and is often used in conjunction with the ABCDE method. However, it is important to note that while dermatoscopy can aid in identifying benign versus malignant lesions, it is not a definitive diagnostic tool. A biopsy may be required for a conclusive diagnosis if there are any concerns.

In your case, since you have experienced pain in the area of the mole, it would be prudent to consult a dermatologist who can perform a thorough examination. They may recommend imaging studies or a biopsy if they suspect any underlying issues. Additionally, if the pain persists or worsens, a consultation with a neurologist may be beneficial to rule out any nerve-related conditions.

In summary, while the pain you are experiencing could potentially be related to the mole, it is essential to have a professional evaluation to determine the exact cause. Monitoring the mole for any changes and consulting with a healthcare provider will ensure that any necessary interventions are taken promptly. Your health and peace of mind are paramount, so do not hesitate to seek further medical advice.

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