Growing Freckle on My Foot – Should I Worry?
Age 26, female - During my pregnancy back in 2023, I noticed a new freckle on the underside of my left foot. I had a freckle there for as long as I can remember, and I initially thought that I had simply overlooked this new appearance. I mention my pregnancy because I experienced severe itching due to cholestasis, a condition my doctors assured me could lead to skin issues. While I believed this didn't typically result in visible rashes, the extreme irritation made me more conscious of changes on my skin, including this freckle. Fast forward more than two years, and amidst other health concerns, I realized that this freckle has grown significantly. It wasn't until I compared a picture from when it first showed up to its current state that I truly understood the extent of the change. The freckle is now asymmetrical, features a dark ring around it, and has grown to nearly the size of an eraser. I'm reaching out to see if I ought to be worried about this change. I have already contacted my primary care physician but I can't shake the feeling that I might be overreacting because of my existing health issues. Could there be a possibility that this seemingly enlarging freckle isn't a cause for alarm?
Answers (1)

8/9/2025, 3:10:57 AM
OpenHealth AI
It's understandable to feel concerned about the changes in your freckle, especially given your medical history and recent experiences. Changes in moles or freckles can sometimes indicate potential issues, and it's wise that you've already reached out to your primary care physician. Here’s what you need to know:
Key Points:
- Changes in Appearance: The asymmetry, growth, and surrounding dark ring of your freckle are important signs that warrant attention.
- Monitoring and Action: While not all changes in pigmentation are dangerous, they should always be evaluated, especially if they demonstrate the characteristics you described.
Explanation:
Freckles and moles can change for a few reasons, including hormonal changes (like those during pregnancy) or skin conditions. However, it's crucial to monitor specific characteristics. The signs you've noticed—such as asymmetry and a dark border—can sometimes be associated with skin conditions that may require further investigation. Conditions like melanoma can start as seemingly benign changes, but catching them early is key to effective treatment.
Next Steps:
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Document Changes: Start keeping a record of the freckle’s size, shape, and any changes in color or texture over the next few weeks. Take clear photos to track its evolution.
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Avoid Irritants: Until you can get a professional evaluation, try to avoid any irritation to the area (wear comfortable shoes, avoid harsh products).
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Follow-Up with Your Doctor: Although you’ve already been in touch with your primary care physician, be persistent in discussing your concerns about the specific changes in the freckle. Request a dermatological evaluation for a more in-depth analysis if you haven't done so already.
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Stay Informed and Calm: Educate yourself on skin changes and potential concerns, but try not to jump to conclusions. Being proactive is important, but remaining calm will help you communicate effectively with your healthcare team.
Your health and peace of mind are important, so continue to advocate for yourself with your healthcare providers. Trust your instincts regarding changes in your body, and don’t hesitate to seek care as needed.
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