[34M] Concern about a transient lip bump with subsequent hyperpigmentation

Patient Description

A 34-year-old male presented with a small, flesh-colored bump on the vermillion border of the upper lip. The bump was painless, non-itchy, and not associated with redness. It persisted for approximately four days and then scabbed over, with the scab falling off on the fifth day, leaving behind some hyperpigmentation but no scar. The lesion was soft to touch, measured 1-2 mm, and did not exhibit any fluid, numbness, or tingling sensations. The patient has not experienced any similar bumps in the past, and there was no history of trauma to the area. Additionally, the patient reported lip dryness but no other systemic symptoms such as fever or weight loss. There is no known history of allergies, adverse reactions to medications, or any current medication use. No other new bumps or lesions have been noted, and the patient has no significant past medical history.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • Mucous Cyst: These are small, fluid-filled sacs that form on the lips or mouth. They are often caused by lip biting, lip sucking, or other minor trauma. They are typically painless unless they rupture and can leave a scar after healing.

  • Fordyce Spots: These are small, painless, raised, pale or white spots or bumps 1 to 3 mm in diameter that may appear on the lips. They are not associated with any disease or illness and are a natural occurrence on the body.

  • Cold Sore: These are small, painful, fluid-filled blisters that usually occur on or around the lips. However, you mentioned that the bump was painless and there was no fluid, which makes this less likely.

  • Actinic Keratosis: This is a rough, scaly patch on your skin that develops from years of exposure to the sun. It's most commonly found on your face, lips, ears, back of your hands, forearms, scalp or neck.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Keep the area clean and avoid picking at or popping the bump.
  2. Apply a lip balm or cream to help with the dryness. Look for one that contains SPF to protect your lips from the sun.
  3. If the bump does not resolve on its own in a few weeks, or if you notice any changes such as an increase in size, changes in color, or if it becomes painful, you should consult with a healthcare provider.

What you should look out for

  • Any changes in the size, color, or shape of the bump
  • Development of new bumps
  • Pain, itching, or burning
  • Signs of infection such as redness, swelling, or pus

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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People Also Ask


What are mucous cysts and how do they form?

Mucous cysts, also known as mucoceles, are small, fluid-filled sacs that form on the lips or inside the mouth. They often result from minor trauma such as lip biting or sucking, which causes a blockage in the salivary glands. They are usually painless and may resolve on their own.


Are Fordyce spots a cause for concern?

Fordyce spots are small, painless, pale or white bumps that can appear on the lips or inside the mouth. They are a natural occurrence and not associated with any disease or illness, so they are generally not a cause for concern.


What are the typical symptoms of a cold sore?

Cold sores, also known as fever blisters, are small, painful, fluid-filled blisters that typically occur on or around the lips. They are caused by the herpes simplex virus and are often preceded by tingling, itching, or burning sensations before the blisters appear.


How can I prevent actinic keratosis on my lips?

To prevent actinic keratosis, especially on the lips, it's important to protect your skin from sun exposure. Use a lip balm with SPF, wear a wide-brimmed hat, and avoid prolonged sun exposure, especially during peak hours. Regularly check your skin for any changes and consult a healthcare provider if you notice any suspicious lesions.


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