Seeking Advice on Scalp Lesion
Greetings! I’m reaching out for some guidance regarding a scalp issue. At 31 years old, I’ve noticed a small lesion on my head that seems to have been there for several years—possibly since my childhood or teenage days. It wasn’t something I considered significant until recently, when I observed that it appears to have grown slightly over time. Just last night, I unintentionally scratched the area, which caused it to bleed a little. Now, it feels somewhat tender and has a slight stinging sensation. The appearance is a reddish patch with what seems to be a slightly raw texture. I’m curious about what this might indicate. Is it possible that it’s a sebaceous nevus, or could it be a sign of something more serious? Should I be wary of this development? I would appreciate any insights or advice. Thank you in advance for your help!
Answers (1)
7/8/2025, 1:20:42 PM
OpenHealth AI
It’s understandable to feel concerned about a changing lesion on your scalp, especially with a history of growth and recent irritation. Here’s a breakdown of what your situation might indicate and the appropriate steps to take.
Main Points:
- A longstanding scalp lesion that has changed in size and bled after scratching can have various causes, including benign and more concerning conditions.
- It’s essential to monitor the lesion closely and take specific steps to care for it, especially after the recent injury.
Explanation:
The lesion you described could potentially be a sebaceous nevus, which is generally harmless skin growth often present since childhood. However, any changes in size, color, or texture warrant attention. The recent bleeding and tenderness may indicate irritation or a need for care.
It is important to recognize that while the majority of scalp lesions are benign, any lesion that changes significantly should be evaluated to rule out other conditions, including skin cancers.
Next Steps:
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Monitor Changes: Keep an eye on the lesion’s size, color, and texture over the next few weeks. Note any new symptoms like increased pain, continued bleeding, or changes in appearance.
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Gentle Care: Avoid scratching the area to prevent further irritation. Clean the lesion gently with mild soap and water, and you may apply a topical antibiotic ointment if it remains raw to reduce the risk of infection.
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Self-Examination: Check other areas of your skin for new moles or changes in existing ones. This can help you gauge if the scalp lesion is an isolated issue or if there are other changes.
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Consider Professional Evaluation: If the lesion continues to change, bleeds again, or shows signs of infection or significant discomfort, it would be advisable to seek an evaluation from a healthcare professional who can provide a thorough examination and potentially a biopsy if necessary.
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Document Symptoms: Keeping a record of the lesion’s appearance, size, and any symptoms (like tenderness or stinging) can be helpful if you decide to seek medical advice later.
Remember that being proactive about changes in your body is a positive step. If you have any concerns about your health or the lesion’s nature, don’t hesitate to reach out for a professional evaluation. Your health and peace of mind are very important.
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