Most skin bumps, spots, growths, and moles are harmless. Colored skin spots, also called pigmented lesions (such as freckles, moles, or flesh-colored skin spots), or growths (such as warts or skin tags) may be present at birth or develop as the skin ages.
Most skin spots on babies will go away without treatment within a few months. Birthmarks are colored marks on the skin that are present at birth or develop shortly after birth. They can be many different sizes, shapes, and colors, including brown, tan, black, blue, pink, white, red, or purple. Some birthmarks appear on the surface of the skin, some are raised above the surface of the skin, and some occur under the skin. Most birthmarks are harmless and do not need treatment. Many birthmarks change, grow, shrink, or disappear. There are many types of birthmarks, and some are more common than others. For more information, see the topic Birthmarks.
Acne is a common skin change that occurs during the teen years and may last into adulthood. Acne may be mild, with just a few blackheads (comedones), or severe, with large and painful pimples deep under the skin (cystic lesions). It may be present on the chest and back as well as on the face and neck. Boys often have more severe outbreaks of acne than girls. Many girls have acne before their periods that occurs because of changes in hormone levels. For more information, see the topic Acne.
During pregnancy, dark patches may develop on a woman's face. This is known as the "mask of pregnancy," or chloasma, and it usually fades after delivery. The cause of chloasma is not fully understood, although experts think that increased levels of pregnancy hormones cause the pigment-producing cells in the skin (melanocytes) to produce more pigment. You can reduce skin pigment changes during pregnancy by using sunscreen and staying out of the sun.
Actinic keratosis and actinic lentigines are types of colored skin spots that are caused by too much sun exposure. Although these spots are not skin cancers, they may mean that you have an increased chance of getting skin cancer, such as squamous cell skin cancer or a type of melanoma.
You may have an allergic reaction to a medicine that causes a skin change, or you may develop a skin reaction when you are out in the sun while you are taking a medicine (this is called photosensitivity). Rashes, hives, and itching may develop, and in some cases may spread to areas of your skin that were not exposed to the sun (photoallergy). For more information, see the topic Allergic Reaction.
Skin changes can also be caused by:
Some common skin growths include:
Treatment of a skin change depends on what is causing the skin change and what other symptoms you are having. Moles, skin tags, and other growths can be removed if they become irritated, bleed, or cause embarrassment.
While most skin changes are normal and occur with aging, some may be caused by cancer. Skin cancer may start as a growth or mole, a change in a growth or mole, a sore that does not heal, or irritation of the skin. It is the most common form of cancer in North America.
Skin cancer destroys skin cells and tissues and can spread (metastasize) to other parts of the body. The three most common types of skin cancer are basal cell cancer, squamous cell cancer, and melanoma. See a picture of the ABCDEs of melanoma.
Causes of skin cancer include:
Kaposi's sarcoma is a serious form of skin cancer. It is often found in people who have an impaired immune system, such as people with AIDS. Blue-red raised bumps (nodules) may appear on the face, arms, and trunk and inside the mouth.
Early detection and treatment of skin cancer can help prevent problems. Treatment depends on the type and location of the growth and how advanced it is when it is diagnosed. Surgery to remove the growth will help determine what treatment will be needed. For more information, see the topics Skin Cancer, Melanoma and Skin Cancer, Nonmelanoma.
Check your symptoms to decide if and when you should see a doctor.
Most bumps, spots, growths, or moles do not need any type of home treatment. But the following measures may be helpful:
Try the following measures if a bump, spot, or growth shows minor signs of infection, such as a small amount of pus or redness around the bump:
Note: Stop using the ointment if the skin under the bandage begins to itch or develops a rash. The ointment may be causing a skin reaction.
Call your doctor if any of the following occur during home treatment:
Most noncancerous skin bumps, spots, and growths can't be prevented. But there are steps you can take to help prevent some skin problems:
Most skin cancer can be prevented. Use the following tips to protect your skin from the sun. You may decrease your chances of developing skin cancer and help prevent wrinkles.
The best way to prevent a sunburn is to avoid sun exposure.
Stay out of the midday sun (from 10 in the morning to 4 in the afternoon), which is the strongest sunlight. Find shade if you need to be outdoors. You can also calculate how much ultraviolet (UV) exposure you are getting by using the shadow rule: A shadow that is longer than you are means UV exposure is low; a shadow that is shorter than you are means the UV exposure is high.
Other ways to protect yourself from the sun include wearing protective clothing, such as:
You should start protecting your child from the sun when he or she is a baby. Because children spend a lot of time outdoors playing, they get most of their lifetime sun exposure in their first 18 years.
If you can't avoid being in the sun, use a sunscreen to help protect your skin while you are in the sun.
Some sunscreens say they are water-resistant or waterproof and can protect for about 40 minutes in the sun if a person is doing a water activity. Apply sunscreen more often if you are in water. Wet skin can burn easily, so be sure to protect your skin even if you do not feel that you are getting sunburned. Wearing a T-shirt while swimming does not protect your skin unless sunscreen has also been applied to your skin under the T-shirt.
The following tips about sunscreen will help you use it more effectively:
Do not use tanning booths to get a tan. Artificial tanning devices can cause skin damage and increase the risk of skin cancer.
For more information on warts, see the topic Warts and Plantar Warts.
For more information on how to help prevent acne, see the topic Acne.
To prepare for your appointment, see the topic Making the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
| U.S. Environmental Protection Agency SunWise Program | |
| Web Address: | www.epa.gov/sunwise |
The U.S. Environmental Protection Agency (EPA) created the SunWise program to teach children and caregivers about the UV index and safe sun exposure. | |
| By | Healthwise Staff |
|---|---|
| Primary Medical Reviewer | William H. Blahd, Jr., MD, FACEP - Emergency Medicine |
| Specialist Medical Reviewer | H. Michael O'Connor, MD - Emergency Medicine |
| Last Revised | April 27, 2011 |
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