I have a pink spot on the skin unnoticed for a longer period. What could it be?

Hi,

Welcome to icliniq.com.

I have gone through the picture and blood investigations that you sent. (attachment removed to protect patient identity).

This lesion is asymmetric and presents irregular borders and irregular distribution of the pigmentation presents border irregularity, color variation, and a nodular component of diameter ≥6 mm.

Before I make further diagnosis, I would like to know for the last few months is there any change in size and new lesion? Change in color? Change in shape? Is there inflammation? Bleeding or crusting? Sensory change? Lesion diameter ≥7 mm?

Meanwhile, I would like to classify this lesion as suspicious and would like to advise biopsy. For treatment, I would wait for the answers to the above questions and give you some iron and vitamin D supplements that are deficient in your body.

Hi,

Welcome back to icliniq.com.

May you review back with answers to the following questions.

When was the lesion (or a change in a pre-existing lesion) first noticed? Does the patient have a personal or family history of melanoma or other skin cancers? Does the patient have a history of excessive sun exposure and/or tanning bed use? Did the patient suffer severe sunburns during childhood or teenage years? Does the patient have a cancer-prone syndrome (eg, familial atypical mole-melanoma syndrome or xeroderma pigmentosum)? Is the patient immunosuppressed? Did the patient receive prolonged psoralen plus ultraviolet A (PUVA) therapy?

Meanwhile, I will advise you for the dermatologist opinion for dermoscopy examination of the lesion.

Hi,

Welcome back to icliniq.com.

The oxygen therapy which you tried at home is neither under any regulatory approval nor amongst the treatment options available so I cannot advise you to do so.

However, in the best interest of the patient, the history looks to be benign nevi and I would advise you to observe it under close observation. When lockdown opens you can visit a dermatologist for dermoscopic examination and if then biopsy only will be needed.

Dermoscopy is a noninvasive, in vivo technique primarily used for the examination of pigmented skin lesions. However, it can also assist observers in assessing the lesions with little to no pigment. Dermatoscopy, epiluminescence microscopy, incident light microscopy, and skin-surface microscopy are synonyms.

Dermoscopy is performed with a handheld instrument called a dermatoscope. The procedure allows for the visualization of subsurface skin structures in the epidermis, at the dermo-epidermal junction, and in the upper dermis as these structures are usually not visible to the naked eye.

Cross-sectional studies, randomized trials, meta-analyses, and a 2018 Cochrane systematic review have indicated that dermoscopic examination has higher discriminatory power than naked-eye examination to detect skin cancer, including melanoma either in experimental or real-life clinical settings.

Let me know if there is any change in size, color, symmetry, number, and pigmentation of the lesions.