[22F] With changes in facial mole
Patient Description
A 22-year-old female reports a longstanding mole on her face, present since childhood, which has recently become raised and firm with a tiny white dot. The changes occurred suddenly about a week ago. The mole rarely itches, but there was some pain after applying a pimple patch, which has since decreased. Upon removing the patch, a small part of the mole seemed to come off. The mole is slightly smaller than a pencil eraser and has not changed in size or color. The patient has a history of eczema and a family history of skin cancer in her grandfather. She is currently taking Berberine 500 mg and a sleeping aid almost daily. No recent sun exposure or trauma to the mole aside from facial massage with a Gua sha tool.
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possibilities:
-
Mole Changes: Changes in a mole, such as becoming raised, firm, or developing a white dot, can sometimes be concerning. While it might be a benign change, it's important to monitor it closely.
- Typical Evaluation: A dermatologist may examine the mole and, if necessary, perform a biopsy to rule out any serious conditions, such as skin cancer.
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Eczema: Given your history, the itching could be related to eczema, although it typically affects larger areas of skin.
- Typical Treatment: Moisturizers and topical steroids are often used to manage eczema symptoms.
What you can do
- Monitor the Mole: Keep an eye on any further changes in size, shape, or color. Take photos to track its appearance over time.
- Avoid Irritation: Try not to apply any more pimple patches or other products that might irritate the mole.
- Moisturize: Use a gentle moisturizer to help with any itching, especially if related to eczema.
- Consult a Dermatologist: It's a good idea to have a dermatologist evaluate the mole, especially given your family history of skin cancer.
You can use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
What you should look out for
- Changes in the Mole: Watch for any rapid changes in size, color, or shape, or if it starts to bleed or ooze.
- Increased Itching or Pain: If the itching or pain worsens, seek medical advice.
- New Symptoms: If you notice any new symptoms, such as other moles changing, consult a healthcare professional.
Remember, it's important to seek care from a healthcare provider for a formal diagnosis and treatment.
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2 mo ago