Unusual Growths on Fingers: Causes and Treatment Options - Dermatology

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Growths on the hand?


Hello Dr.
Lee, during this period, I have noticed some strange growths on my fingers.
However, they do not resemble common warts or corns, which typically have black dots and grow upwards.
Instead, they feel somewhat like a polyp and resemble the peeling skin under the nails, but they are fleshy.
How should I handle this, and what could it possibly be?

Chen Tongxue, 10~19 year old female. Ask Date: 2016/03/16

Dr. Li Yufen reply Dermatology


Hello: It is not possible to accurately diagnose a skin condition based solely on a textual description.
If your skin abnormalities persist, it is recommended that you consult a nearby dermatologist for a definitive diagnosis and treatment.
Thank you!

Reply Date: 2016/03/16

More Info


Unusual growths on fingers can be concerning, and it's important to understand the potential causes and treatment options available. Based on your description, it sounds like you may be experiencing a condition that could involve a variety of benign or potentially more serious growths. Here’s a breakdown of what you might be dealing with and how to approach it.


Possible Causes
1. Dermatofibromas: These are benign tumors that often appear as small, firm nodules on the skin. They can be skin-colored, brown, or even purple and may feel like a small lump under the skin. They are usually harmless and do not require treatment unless they become bothersome.

2. Skin Tags (Acrochordons): These are small, soft pieces of skin that hang off the body. They are common and can occur anywhere on the body, including the fingers. Skin tags are generally harmless and can be removed if they cause irritation or for cosmetic reasons.

3. Warts: While you mentioned that the growths do not resemble typical warts, it's worth noting that warts can sometimes appear differently. They are caused by the human papillomavirus (HPV) and can vary in appearance. If they are flat and flesh-colored, they may be less noticeable.

4. Keratolytic Lesions: These can occur when the skin thickens and forms a rough patch. They may feel like a callus or a thickened area of skin and can sometimes be mistaken for other growths.

5. Nail Disorders: Conditions affecting the nail bed, such as subungual hematomas (blood under the nail) or infections, can also cause unusual growths or changes in the appearance of the nail.

6. Other Conditions: In some cases, growths can be indicative of more serious conditions, such as skin cancer or other dermatological issues. It's essential to monitor any changes in size, color, or shape.


Treatment Options
1. Observation: If the growths are not causing pain or discomfort, a watchful waiting approach may be appropriate. Keep an eye on any changes in the growths.

2. Topical Treatments: For warts or other viral lesions, topical treatments containing salicylic acid can help remove the growth over time.

3. Cryotherapy: This involves freezing the growth with liquid nitrogen, which can be effective for warts and some benign lesions.

4. Surgical Removal: If the growths are bothersome, painful, or if there is any concern about their nature, a healthcare provider may recommend surgical excision. This is often a straightforward procedure performed in a doctor's office.

5. Dermatological Consultation: Since the growths are unusual and concerning, it would be wise to consult a dermatologist. They can provide a proper diagnosis through a physical examination and, if necessary, a biopsy to rule out any serious conditions.


Conclusion
In summary, unusual growths on the fingers can arise from various causes, ranging from benign skin conditions to more serious issues. Given the description of your symptoms, it is advisable to seek a professional evaluation from a dermatologist. They can provide an accurate diagnosis and recommend appropriate treatment options based on your specific situation. Early intervention can often lead to better outcomes, especially if there is any concern about the nature of the growths. Remember to keep track of any changes in the growths and report them to your healthcare provider during your visit.

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