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I have a blood blister for a month with bleeding and warm to touch. What could this be?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 3, 2020
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

I have blood blisters for over a month. I keep bleeding and would not heal. It stayed the same size. Sometimes it is warm to touch.

Hello,

Welcome to icliniq.com.

From your history and seeing the attachment photo (attachment removed to protect patient identity), it looks like an infected angioma, which is a cyst formed by superficial or deep blood vessels. There is no need to panic as this is a common condition and is treatable. These have the tendency to recur if not properly cauterized or treated. Since it is present for a long time and since it is symptomatic, it is better you take an excision biopsy of the lesion, to remove the lesion completely and to send it for testing to rule out any malignancy potential. But by the looks of it, there is nothing to worry about, and you can prevent a local infection from it by applying an antibacterial topical like Fusidic acid cream or Mupirocin cream twice daily after a thorough cleaning. And also if you feel so much pain and discomfort, you can have a short course of antibiotics Cefadroxil 500 mg twice daily for two weeks. Please note there is no ointments or no other topicals that could regress the lesion completely, but you have a variety of cosmetic procedures to opt from. The procedures are laser therapy, photo-dynamic therapy, intense pulsed light therapy, liquid nitrogen therapy. However, you can be sure of things by going for an excision biopsy. I hope this helps.

Patient's Query

Thank you doctor,

Well, that is good news but the problem is, I cannot get to a doctor. Is there a way I can get in writing what you think it is from the picture and that I need to go get it taken care of? I am going back to another country and I want to be taken care of before I go back there or before it gets more infected considering the area they are making me go to.

Hello,

Welcome back to icliniq.com.

As I have already mentioned, in my previous message it would be advised you go for excision of the lesion for a complete cure. And as far as buying medicines is considered, you just have to show this, and it is accepted in most cases. The diagnosis is infected angioma. Use Fusidic acid cream for local application twice daily. Take Tablet Cefadroxil 500 mg twice daily for five days. After infection subsides, consider an excision biospy.

Patient's Query

Hi doctor,

Thank you for your help.

Hi,

Welcome back to icliniq.com.

You are welcome. Keep in touch for further doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sneha Mariam Varghese
Dr. Sneha Mariam Varghese

Venereology

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