Seeking Clarity on Scalp Concerns
I'm a 25-year-old male living in Serbia, and I lead a generally healthy lifestyle while using dutasteride and minoxidil to manage hair loss. For the past six years, I’ve noticed several pimples and moles on my scalp. Initially, they presented like regular pimples that eventually ceased to hurt, but have now persisted in their current form. The two noticeable ones at the front feel firm to touch, while I can't accurately assess those at the back of my head. In December, I consulted with a dermatologist who conducted a brief examination using a dermatoscope. She concluded that what I have are moles or birthmarks. I left the appointment feeling dismissed and plan to seek a second opinion from another dermatologist once I'm back in college. I'm hoping these growths are merely remnants of acne rather than true moles, as the latter could make removal more challenging. Recently, I've developed another pink lesion; it hurt initially like a pimple but is now calming down. Additionally, I've been dealing with residual acne on my back and buttocks. Throughout my scalp, I can count around 15 of these pink lesions, which is unusual for me, as I typically don’t have many moles. If anyone could offer some insight, it would be greatly appreciated!
Answers (1)
3/26/2025, 2:00:53 AM
OpenHealth AI
It sounds like you have several concerns about the growths on your scalp, especially given your history of acne and recent changes. Here’s a breakdown of your situation and some steps you can take:
Main Points:
- Persistent Growths on Scalp: The firm, pimple-like growths you described may be benign but deserve a thorough check to ensure they are not concerning.
- Recent Pink Lesion: This may indicate a new issue that you should monitor closely.
- Plan for Second Opinion: Seeking a second opinion, especially when you feel dismissed, is a valid and important step.
Explanation:
The growths you have described on your scalp could be a variety of things, including acne scars, moles, or other benign skin conditions. Your dermatologist's initial assessment indicates they may be moles or birthmarks, which are typically harmless. However, the emergence of a new pink lesion is new and should be monitored closely. Changes in size, shape, color, or symptoms such as itching or bleeding can indicate the need for further evaluation.
Next Steps:
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Monitor Changes:
- Keep an eye on all the growths on your scalp. Take photos to track any changes in size, color, or texture over time.
- Pay particular attention to the new pink lesion. If it reoccurs or becomes painful, document this as well.
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Skin Care Routine:
- To help manage scalp health, keep the area clean and gently wash your scalp with a mild cleanser.
- Avoid picking at any lesions or pimples, as this can lead to irritation or infection.
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Second Dermatologist Visit:
- Once you’re back in college, arrange to see another dermatologist. Consider asking for a detailed assessment and whether a biopsy is necessary for any lesions that concern you. It’s important you feel your concerns are fully addressed.
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Consider Lifestyle Factors:
- Maintain your healthy lifestyle regarding diet and stress management, as these can impact your skin health. Staying hydrated and possibly integrating a mild topical acne treatment might also help with residual acne.
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Potential Referring to Specialized Care:
- If any of the lesions show rapid changes, or if you feel increasingly worried, insist on further evaluation sooner rather than later for peace of mind.
Understanding your scalp conditions can take time, and it’s valid to seek a second opinion when unsure. Your proactive approach is commendable, and monitoring your symptoms will be key in managing your scalp health moving forward. If you have additional questions or new symptoms arise, feel free to ask!
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