[19M] Concerned about black spots on back

Patient Description

A 19-year-old male has noticed the presence of black spots on his back. The duration for which these spots have been present is unclear. The patient has not observed any other abnormal symptoms accompanying the spots, nor has he identified any relieving factors. There have been no noted changes in the size, shape, or color of the spots since they were first noticed. The patient has not provided further details about the texture, distribution, or any potential exposure risks that could be associated with the spots.

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Arora's Assessment

What might be happening

Based on the information you provided, the black spots on your back could be due to a variety of reasons:

  • Moles: These are common skin growths that can appear anywhere on your body. They are usually brown or black and can appear alone or in groups. Most moles are harmless, but any changes in size, color, or shape should be evaluated by a healthcare professional.
  • Lentigines: These are small, darkened patches of skin that can develop in areas exposed to the sun. They are harmless but can be a cosmetic concern for some people.
  • Dermatofibromas: These are harmless, small, hard lumps that can develop on the skin. They are usually brown or red and can occur anywhere on the body.
  • Seborrheic Keratoses: These are common noncancerous skin growths that often appear in middle-aged and older adults. They can be brown or black and may look like they've been pasted on the skin.

What you can do

Since you've just noticed these spots, it would be a good idea to monitor them over the next few weeks. Look for any changes in size, color, or shape. If you notice any changes, or if the spots start to itch, bleed, or become painful, you should seek medical attention.

What you should look out for

While most skin spots are harmless, it's important to be aware of the signs of skin cancer. These include:

  • A spot that changes in size, shape, or color
  • A spot that bleeds
  • A spot that becomes painful or itchy
  • A spot with an irregular border or uneven color

If you notice any of these signs, you should seek medical attention immediately. Remember, early detection is key in treating skin cancer effectively.

Please note that this advice is based on the information you provided and is not a substitute for a professional medical opinion. It's always a good idea to consult with a healthcare provider if you have any concerns about your health.

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1 yr ago

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People Also Ask


What are the common causes of black spots on the skin?

Common causes of black spots on the skin include moles, lentigines, dermatofibromas, and seborrheic keratoses. These are generally harmless but should be monitored for any changes.


How can I differentiate between harmless skin spots and those that might be cancerous?

Harmless skin spots typically remain consistent in size, shape, and color. Cancerous spots may change in size, shape, or color, bleed, become painful or itchy, or have irregular borders. It's important to consult a healthcare professional if you notice any of these changes.


What should I do if I notice changes in the spots on my skin?

If you notice changes in the size, color, or shape of the spots, or if they start to itch, bleed, or become painful, you should seek medical attention to rule out any serious conditions.


Are there any preventive measures to avoid developing new skin spots?

To prevent new skin spots, protect your skin from excessive sun exposure by using sunscreen, wearing protective clothing, and avoiding tanning beds. Regular skin checks can also help in early detection of any changes.


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