Persistent Bruising Beneath a Long-Standing Mole
Age: 47. Skin tone: White/olive. Overall health appears to be good. Height: 5'6", Weight: 140 lbs. Approximately six to nine months ago, I discovered a dark spot on my back that caught my attention. Over time, I noticed that this mark seemed to gradually increase in size and deepen in color. Additionally, I observed a bruise measuring about 1.5 to 1.75 inches directly beneath it. This bruise has not exhibited the typical dark purple hue; rather, it has consistently remained a lighter shade of purple or blue. Importantly, this bruise did not exist prior to noticing the mole, which was likely pea-sized, slightly elevated, and reminiscent of dark chocolate in color. Last Wednesday, I consulted a dermatologist regarding my concerns. He examined the area using a specialized light and assured me that it appeared normal. Despite my worries, he took a small sample for lab analysis, promising to send it for further evaluation. I am still awaiting the results. During the appointment, I also brought up the persistent bruise. The dermatologist acknowledged its presence but seemed to dismiss my concern, expressing that it was nice to meet me before concluding the very brief consultation, which lasted no more than five minutes. I'm left feeling puzzled. It seems unusual that the bruise and mole occupy the exact same spot, and the bruise continues to show no signs of fading, maintaining its usual appearance. Any insights or suggestions would be appreciated.
Answers (1)
8/27/2025, 3:11:48 AM
OpenHealth AI
It's understandable to feel concerned about changes in your skin, especially when there's a new mole and a persistent bruise involved. While you’ve taken an important step by consulting a dermatologist, there are some key points to consider while you await the lab results.
Main Points:
- Recent changes in moles should always be monitored, especially if they grow or change in color.
- A persistent bruise that does not fade may require further investigation, especially if it's associated with a new mole.
Explanation:
- Moles can undergo changes for various reasons, including benign factors like hormonal changes, sun exposure, or irritation. The fact that you have a history of a mole that is changing in size and color is significant enough to warrant further observation, which you've correctly initiated by seeking a biopsy.
- The bruising you describe, particularly remaining in one spot and not fading, can occur for several reasons. It could be due to localized trauma, a bleeding disorder, or irritation from the mole itself. Given your description of the bruise, it's good that you mentioned it to your dermatologist, even though you felt it was dismissed.
Next Steps:
- Monitor the Bruise and Mole: Keep an eye on both the mole and the bruise. Take pictures weekly to document any changes in size, color, or shape.
- Manage Any Symptoms: If you notice new symptoms, such as pain, itching, or if the bruise gets larger, make note of this as it will be important information for your healthcare provider.
- Follow Up on Biopsy Results: As you await the lab results, don’t hesitate to reach out to your dermatologist's office for any updates or if you have worsening concerns.
- Consider Seeking a Second Opinion: If you continue to feel uneasy or your bruise does not improve, consider making an appointment with another dermatologist for a comprehensive evaluation. It's completely reasonable to seek a second opinion when it comes to skin changes.
While waiting can be anxiety-provoking, being proactive about these changes is the best course of action. Please remember to follow up as necessary and take care of your skin health. Let me know if you have any further questions or concerns!
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