What Could This Growing Mark Be?
In 2020, I noticed a mark on my hip that initially measured about the size of a quarter. Each passing year, it has gradually enlarged. I consulted a dermatologist last year, and after conducting a biopsy, the results indicated it was post-inflammatory hyperpigmentation. However, I haven't experienced any noticeable trauma to that area that might explain its emergence. Living in a warm climate means that each spring and summer, the mark takes on a vivid red hue, even without sun exposure, suggesting a sensitivity to heat. During the cooler seasons, its color fades to a gray or nearly matches my natural skin tone, yet it remains visible. Additionally, during summer months when it scars that intense red, it tends to itch and burn after sun exposure, despite my diligent application of sunscreen on the area. This raises the question: does it genuinely resemble post-inflammatory hyperpigmentation? While I’m unable to share images, the mark is predominantly bright red, although there are some white lines in the center. Initially, this led the dermatologist to suspect ringworm. A treatment cream proved ineffective, prompting further investigation through a biopsy. It has grown from about a quarter-sized area to approximately three inches across. A bit about me: I am a 30-year-old female with diagnoses of epilepsy, Sjögren's syndrome, and rheumatoid arthritis. I am currently taking Briviact, hydroxychloroquine, and venlafaxine. My rheumatologist does not believe this mark is linked to my autoimmune conditions.
Answers (1)
3/18/2025, 3:50:43 AM
OpenHealth AI
Thank you for sharing detailed information about your growing skin mark. Based on your description, it sounds like a complex situation, but I’ll aim to provide clarity and next steps.
Main Points:
- You have a growing mark on your hip, now around three inches in size, with varying colors and symptoms, including itching and burning.
- The dermatologist’s initial diagnosis was post-inflammatory hyperpigmentation, but the size and characteristics of the mark raise questions.
- You also have existing health conditions that may contribute to skin sensitivity.
Explanation:
Post-inflammatory hyperpigmentation typically results from skin trauma or inflammation that darkens the skin area—however, in your case, the mark's growth and severe reaction to heat and sun exposure suggest that it may not solely be hyperpigmentation. The vivid red color, along with itching and burning sensations, could indicate other underlying issues, such as dermatitis, an eczema-like reaction, or even conditions related to your autoimmune disorders.
The white lines you mentioned could signify another aspect for evaluation, such as a form of dermatitis or a more chronic dermatological issue. Given that your rheumatologist doesn’t think it’s connected to your autoimmune conditions, it's essential to consider other potential diagnoses.
Next Steps:
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Monitor Symptoms: Keep a daily log of changes in size, color, and symptoms (itching, burning). Note when these symptoms increase in intensity, particularly with sun exposure or heat.
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Review Medications: Some medications can cause skin reactions or sensitivity. Discuss with your prescribing doctors whether any medications could be contributing factors to your skin condition.
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Seek a Second Opinion: If the mark continues to change or if you have ongoing symptoms, consider consulting another dermatologist or a specialist in dermatology who has experience with autoimmune skin issues for a fresh evaluation.
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Skin Care Routine Adjustments: Use a gentle, fragrance-free moisturizer on your skin, especially when it gets irritated. Discuss with a dermatologist about incorporating soothing products, such as hydrocortisone creams or topical antihistamines, to relieve itching when it arises.
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Avoid Triggers: Since heat exacerbates the condition, focus on minimizing exposure to warm environments, and use sun protection diligently, perhaps considering protective clothing or larger SPF application to the area.
Keeping a proactive approach will help you manage this skin condition effectively while seeking further clarification from healthcare professionals. Please feel free to reach out if you have any more questions or need additional support.
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