What causes a smooth orange-colored patch on the finger?

Question

Hello doctor,

I have a smooth patch on my finger, which is pale pink or orange in color. It is not painful, and it is very slightly raised, but you can only feel it raised. If you see it, it appears flat. It had appeared overnight on a previously clear area of skin and has grown a tiny amount since the three months it has been on my finger. If I examine the patch closely, it is 5 mm in size, and I can see tiny pin-sized red dots within the patch. What could this be? I have tried to find something similar online, and I cannot seem to see anything similar that is smooth like mine, it almost looks as though it is underneath the surface of my skin. I have not injured my finger at all.

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

From your history, there is a possibility that your lesion could be a wart. However, it would serve best if we can have a look at the lesion. Kindly upload appropriate images of the present condition, so that I can suggest you better.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen the photos (attachment removed to protect patient identity). Indeed, the clinical lesion appears isolated and one of a kind. The possible differential diagnosis includes the following:

1. Granuloma annulare.
2. Foreign body granuloma.
3. Sarcoidosis.
4. Xanthogranuloma.

Given the pinpoint reddish crusting, even an eczematous pathology can be suspected. The lesion would need a biopsy to narrow down the diagnosis. However, from a clinical point of view, it is benign and can be treated easily once the diagnosis is confirmed. Hence there is no need to panic.

Thank you.