Concerns Regarding Skin Changes: Raised Freckle and Changing Seborrheic Keratosis
A 44-year-old woman, who does not smoke and has a history of health complications including fibroids, bilateral ovarian cysts, bowel prolapse, rectocele, and redundant bowel, is seeking advice regarding recent skin changes. Last year, she consulted her general practitioner about a growth located about two inches above her left hip. The doctor suspected it to be a seborrheic keratosis and confirmed this diagnosis using a dermatoscope. As the growth appeared entirely harmless, she was not referred to a dermatologist. Recently, however, she has noticed alterations in the color and texture of the growth, along with occasional bleeding. While she understands that it is still likely to be a seborrheic keratosis, she would greatly appreciate a professional opinion on the matter. Furthermore, she has developed an unusual 'freckle' on her face over the past four months. A couple of weeks ago, it seemed somewhat dry, prompting her brother to mistakenly believe it was something stuck to her skin and attempt to wipe it off. She is curious to know if this facial mark could also be another seborrheic keratosis, as it appeared suddenly and does not align with the typical symptoms of skin cancer presented online. This mark measures approximately 7mm in length and about 2mm in width, exhibiting a raised texture and a distinctly darker complexion compared to her surrounding skin. Photos illustrate the seborrheic keratosis as it appeared during her GP visit versus its current state, along with the new facial mark in question.
Answers (1)
9/14/2025, 2:40:35 PM
OpenHealth AI
It's understandable to be concerned about changes in your skin, especially when they involve growths that have altered in size, color, or texture. Both the changes in the previously diagnosed seborrheic keratosis and the development of a new freckle warrant careful observation.
Main Points:
- Changes in the texture and bleeding of the seborrheic keratosis could indicate that further evaluation is needed.
- The new facial mark could have different underlying causes, and its characteristics should be monitored.
Explanation:
Seborrheic keratosis is a common and typically harmless skin growth. However, if a previously stable lesion begins to change—such as bleeding, changing color, or developing a different texture—there could be a chance that it needs further evaluation to make sure it's not something more serious.
The new freckle-like growth you described could also be something benign, but characteristics such as rapid change in size, color, or texture can sometimes be concerning.
Next Steps:
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Monitor Changes: Keep an eye on both the seborrheic keratosis and the new facial mark. Take note of any further changes in size, shape, color, or if you notice increased bleeding or irritation.
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Photograph the Areas: Document the changes by taking clear, well-lit photos of both areas weekly. This will help you and any healthcare provider assess the growth over time.
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Avoid Irritation: Protect the areas from further irritation. If the seborrheic keratosis bleeds, avoid any harsh products, and keep the area clean and moisturized.
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Preparation for Consultation: Consider preparing to consult a dermatologist. If the changes in the seborrheic keratosis or the new mark worsen, a professional evaluation will provide reassurance and, if necessary, further management.
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Reach Out for Professional Opinion: While self-monitoring is important, given your concerns about changes and potential bleeding, it would be advisable to seek an appointment with a dermatologist for a focused assessment. They can perform a detailed examination and provide personalized guidance based on their evaluation.
Remember, while it’s likely that these changes are benign, it's always best to err on the side of caution and seek professional advice if you have concerns. Let me know if you have any further questions or need clarification!
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