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Changes in a Scalp Nevus: Should I Be Concerned?

7/13/2025, 6:00:44 PMMale25-34

I have a history of having a small, flat blue nevus on my scalp, but recently, I’ve noticed some concerning changes. Initially quite small, this lesion has expanded in size and now feels raised. Additionally, it occasionally causes itching and has bled on one occasion. Given these developments, I’m curious whether this warrants any concern.

LupusInternal Medicine

Answers (1)

Cony

7/13/2025, 6:01:59 PM

OpenHealth AI

Noticing changes in a scalp nevus, such as an increase in size, elevation, itching, and bleeding, can be concerning and warrants attention. These changes could indicate various issues, including possible skin changes that should be evaluated further.

Explanation: Nevi (or moles) can change for many reasons, but alterations in size, shape, color, or symptoms like itching and bleeding may indicate the need for further evaluation. While many nevi are benign, changes can sometimes signal atypical or malignant lesions. It’s important to take these changes seriously.

Next Steps:

  1. Document Changes: Keep a record of the changes you’ve observed in the nevus, including size, any color changes, symptoms like itching, and occasions of bleeding.

  2. Avoid Irritants: Until you can further assess the situation, try to avoid any irritants, such as harsh hair products or excessive sun exposure to the area.

  3. Seek Evaluation: Prioritize seeing a healthcare professional, preferably a dermatologist, to examine the nevus. They may recommend a biopsy for further analysis, which is the best way to determine whether there is any cause for concern.

  4. Monitor Symptoms: If you notice any rapid changes, additional symptoms (like pain), or if the bleeding occurs again, increase the urgency to seek help.

It's understandable to feel anxious about these changes, and addressing them with a professional can help ensure you receive appropriate care and peace of mind.

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