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Understanding an Unusual Skin Condition

6/25/2025, 4:50:19 PMMale25-34

I frequently experience growths on my arms, chest, and neck. Unlike other skin issues, these spots do not produce pus. Instead, the skin above them tends to develop a thick, calloused texture. When I carefully remove the outer layer, I uncover a small, pearl-like bead nestled within the tissue. Using a pair of fine tweezers, I sometimes manage to extract this bead. It stretches as I pull, but if too much force is applied, it can break and retreat deeper into the skin. I let it be until it reforms and becomes easier to grasp again, and then I can extract a sizable mass from my skin. Although it has a firm texture and can be squished, it holds its shape. After I disturb it, the area often bleeds more than I would expect, and once removed, it leaves a noticeable hole where it was lodged. I suspect these growths originate from hair follicles, as I have occasionally extracted what seems to be the root of a hair along with the bead—similar to the way hair is enclosed in its growth stage. This issue has persisted and shows no signs of stopping. - Age: 38 - Gender: Male - Height: 6 feet - Weight: 202 pounds - Ethnicity: White - Duration of this condition: 5 years - Location: Central United States - Medical history: No significant existing health conditions - Current medication: ADHD medication

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

6/25/2025, 4:50:36 PM

OpenHealth AI

It sounds like you are experiencing a persistent skin condition characterized by growths that have a thick texture and contain a bead-like structure. These symptoms suggest that you may be dealing with a type of skin issue called "epidermoid cysts" or possibly "follicular cysts." These are generally benign but can be bothersome and may require careful management.

Explanation:

Epidermoid cysts form when skin cells grow and multiply too quickly, creating a pocket filled with a protein called keratin. When you mention the pearl-like bead, it could be the keratin material that accumulates within the cyst. These growths often occur near hair follicles, which aligns with your observations. While they are not harmful, they can become uncomfortable or may become infected, leading to additional symptoms such as bleeding when you remove the cyst.

Next Steps:

  1. Avoid Manipulation: Resist the urge to extract or squeeze the growths. This can lead to infection or scarring.
  2. Keep the Area Clean: Use mild soap and water to clean the affected areas daily, helping to prevent irritation or infection.
  3. Moisturize: Apply a gentle moisturizer to keep the skin hydrated and reduce callous formation.
  4. Monitor Symptoms: Watch for signs of infection (increased redness, swelling, warmth, or pus) or if the growths change in size or shape.
  5. Consider Over-the-Counter Treatments: You may find benefit using topical treatments that contain salicylic acid to help reduce the thickened texture.

If the growths continue to cause you concern or discomfort, consider seeking the advice of a dermatologist for further evaluation and treatment options, which may include removal if necessary. Remember that although this situation can feel frustrating, it’s usually manageable with the right care. Let me know if you have any further concerns or need additional information!

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