[22F] with unusual skin lesions

Patient Description

A 22-year-old female presented with two unusual skin lesions on her side, described as holes each about 1 cm deep and forming a perfect 2 cm circle. These lesions have been present for approximately 5 days. The patient reports no pain, redness, swelling, discharge, or discomfort from these lesions. There have been no changes in size or depth since their appearance, and no signs of infection such as foul-smelling discharge. The patient has not experienced any other symptoms, recent injuries, or trauma to the area. She is currently taking Prozac, 40 mg once daily, and no other medications. There is no known past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on your description, the following conditions might be considered:

  • Abscess: This is a collection of pus that has built up within the tissue of the body. It is typically caused by a bacterial infection. Abscesses can appear anywhere on the body and are often accompanied by redness and swelling. However, you mentioned that you do not have any pain or discharge, which are common symptoms of an abscess.

    • Treatment typically involves draining the abscess and antibiotics to clear the infection.
  • Skin cyst: A cyst is a sac-like pocket of tissue that contains fluid, air, or other substances. They can grow almost anywhere in the body or under your skin. Cysts are usually noncancerous and have a sac-like structure that can be filled with fluid, pus, or other material. However, cysts are typically closed structures, not open holes.

    • Treatment can include observation, over-the-counter pain relievers, or surgical removal.
  • Cutaneous fistula: This is an abnormal opening in your skin that results in an open passage between two organs or between an organ and the skin's surface. However, fistulas usually result from an injury or surgery, or as a complication of a disease such as Crohn's disease.

    • Treatment usually involves surgery to repair the fistula.

Please note that these are possible conditions based on your description. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given the unusual nature of your symptoms, it's important to seek medical attention as soon as possible. A healthcare provider can examine the lesion and may order tests such as a biopsy or imaging studies to determine the cause.

In the meantime, keep the area clean and dry. Avoid picking at or scratching the area, which could lead to an infection.

What you should look out for

Seek immediate medical attention if you notice any of the following:

  • The lesion becomes painful
  • You develop a fever or chills
  • The redness around the lesion increases or spreads
  • You notice pus or other discharge from the lesion
  • The lesion increases in size or depth

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare provider.

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7 mo ago


People Also Ask


What could cause skin lesions that are not painful or swollen?

Skin lesions that are not painful or swollen could be caused by conditions such as cysts, which are typically noncancerous and may not cause discomfort. Other possibilities include certain types of skin infections or dermatological conditions that do not initially present with pain or swelling.


How can I differentiate between a cyst and an abscess on my skin?

A cyst is usually a closed sac filled with fluid or other material and is often non-painful unless infected. An abscess, on the other hand, is a collection of pus that is typically painful, red, and swollen. Abscesses are often caused by bacterial infections.


What are the signs that a skin lesion might be infected?

Signs of infection in a skin lesion include increased redness, warmth, swelling, pain, and the presence of pus or foul-smelling discharge. Fever or chills can also indicate a systemic infection.


Is it necessary to see a doctor for skin lesions that don't hurt or change?

Yes, it is advisable to see a doctor for any unusual skin lesions, even if they are not painful or changing. A healthcare provider can assess the lesion to rule out any serious conditions and provide appropriate treatment if necessary.


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