[22F] With painful and itchy raised mole

Patient Description

A 22-year-old female reports noticing changes in a mole since last Friday. The mole has become raised, feels like a small bump, and has developed a small white dot. The patient experiences significant pain and itching at the site, rating the pain as 7 out of 10. A pimple patch was applied, resulting in white or grayish discharge, but no bleeding or crusting. There is no redness or swelling around the mole, and no fever or chills have been reported. No similar changes in other moles have been observed. The patient has a history of eczema since infancy and takes berberine (approximately 500 mg) and a sleeping aid from Rite Aid almost daily. There is a family history of skin cancer in the patient's grandfather. No recent sun exposure or sunburns have been noted.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Irritated or Infected Mole: The changes in your mole, including the white dot and discharge, could indicate irritation or a minor infection, especially since you used a pimple patch. This can cause pain and itching.

    • Treatment: Keeping the area clean and avoiding further irritation can help. If it doesn't improve, a healthcare provider might prescribe topical antibiotics.
  • Eczema Flare-Up: Given your history of eczema, it's possible that the mole area is experiencing a flare-up, which can cause itching and discomfort.

    • Treatment: Moisturizing and using over-the-counter hydrocortisone cream might help alleviate symptoms.
  • Skin Cancer: While less likely, changes in a mole can sometimes indicate skin cancer, especially with a family history. It's important to monitor for changes in size, shape, or color.

    • Treatment: A dermatologist can evaluate the mole and may perform a biopsy if needed.

What you can do

  • Monitor the Mole: Keep an eye on any changes in size, color, or shape. Take photos to track its appearance over time.
  • Avoid Irritation: Refrain from using pimple patches or other products on the mole.
  • Moisturize: Use a gentle moisturizer to help with itching, especially if eczema is a factor.
  • Consult a Doctor: It's important to have a healthcare provider evaluate the mole, especially given your family history of skin cancer.

You can use MDandMe to journal your symptoms, track progress, and share notes with your provider.

What you should look out for

  • Changes in the Mole: Look for rapid changes in size, shape, or color.
  • Persistent Pain or Itching: If these symptoms continue or worsen, seek medical attention.
  • New Symptoms: If you develop fever, chills, or other concerning symptoms, contact a healthcare provider.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

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People Also Ask


What are the signs that a mole might be infected?

Signs of an infected mole can include pain, itching, discharge, and changes in texture. If the mole becomes red, swollen, or produces pus, it may be infected.


How can eczema affect moles or skin lesions?

Eczema can cause skin to become itchy, inflamed, and irritated, which might affect moles by making them more sensitive or causing them to itch. It's important to manage eczema to prevent further irritation.


What are the warning signs of skin cancer in moles?

Warning signs of skin cancer in moles include changes in size, shape, or color, irregular borders, asymmetry, and new symptoms like bleeding or crusting. A dermatologist should evaluate any suspicious changes.


Is it safe to use pimple patches on moles?

It is generally not recommended to use pimple patches on moles, as they can cause irritation or mask important changes in the mole. It's best to consult a healthcare provider for appropriate treatment.


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