Skin Issues: What to Do About a Growing Wood Chip-Like Lesion - Dermatology

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The hand was injured by wood splinters?


When the baby was six months old, there were small wood-like particles on the index finger.
The doctors advised not to remove them.
Now, at one year and four months, the particles have grown larger.
Yesterday, a dermatologist said they are not wood particles and could possibly be a mole.
However, how could it be a mole if it is elongated? What should I do?

Linda, 30~39 year old female. Ask Date: 2015/12/23

Dr. Wu Yuxin reply Dermatology


A literal description without actually seeing the lesion cannot confirm the diagnosis.
It is recommended to consult a dermatologist or a surgeon as soon as possible for proper evaluation.

Reply Date: 2015/12/23

More Info


When it comes to skin lesions, especially in infants and young children, it is crucial to approach the situation with caution and seek professional medical advice. In your case, the lesion on your child's finger that has grown over time and resembles a wood chip is understandably concerning. The fact that it has been observed since your child was six months old and has increased in size warrants further investigation.

Firstly, it is essential to understand that skin lesions can take many forms, and their appearance can change as a child grows. Lesions that appear to be benign, such as moles (nevi), can sometimes change in size, shape, or color, which may lead to confusion about their nature. The description of the lesion as "wood chip-like" and elongated suggests that it may not be a typical mole, but rather a different type of skin growth.

The recommendation from the dermatologist that it may not be a wood chip but possibly a mole is significant. Moles can vary greatly in appearance, and while many are harmless, some can develop into more serious conditions, such as melanoma. It is essential to monitor any changes in the lesion closely, including changes in color, size, or texture, as these can be indicators of a need for further evaluation.

In terms of what to do next, here are some steps you can consider:
1. Follow-Up Consultation: If the dermatologist has suggested that the lesion may be a mole, it may be beneficial to schedule a follow-up appointment for a more thorough examination. A dermatologist may recommend a biopsy to determine the exact nature of the lesion, especially if there are any concerning features.

2. Observation: Keep an eye on the lesion for any changes. Documenting its size, shape, and color over time can provide valuable information for your healthcare provider.

3. Avoid Picking or Irritating the Lesion: As advised by your previous doctors, it is essential not to pick at or irritate the lesion. This can lead to infection and may complicate the diagnosis.

4. Educate Yourself: Understanding the different types of skin lesions can help you communicate more effectively with your healthcare provider. Familiarize yourself with common benign lesions, such as seborrheic keratosis, warts, and moles, as well as signs that may indicate a need for concern.

5. Seek a Second Opinion: If you feel uncertain about the diagnosis or treatment plan, seeking a second opinion from another dermatologist can provide additional clarity and peace of mind.

6. Consider Genetic Factors: If there is a family history of skin conditions or unusual moles, this information can be relevant to your child's case and should be shared with the dermatologist.

In summary, while it can be alarming to see a lesion grow on your child's skin, many skin lesions in children are benign. However, it is crucial to remain vigilant and proactive in seeking medical advice. Regular check-ups with a dermatologist can help ensure that any potential issues are identified and managed appropriately. Your child's health and well-being are paramount, and staying informed and engaged in their care is the best approach.

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