Dr. Rashmi Singh
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
Could you please take a look at this mole? I had it for ages and it has not changed, but it always bothers me. It is more of a reddish color than brown and I have a couple of them. I visited a dermatologist and she said it as fine. I was just wondering for the tiny dots in the mole? I think she may have said hair follicles or pores or something. I was just concerned if it was a mole with two colors as in the ABCDE signs. Sorry, I get a bit paranoid about my skin. I have sent you pictures with and without flash for your reference.
Hello,
Welcome to icliniq.com.
I appreciate that you are so aware and concerned. I went through the pictures (attachment removed to protect patient identity) and I find them completely harmless for now. ABCDE signs are not absolute, but relative. By that I mean to say, any change in color, symmetry, border, diameter and evolution over a period of time is significant. They seem more of a postinflammatory pigmentation, lentigine,s or just nevi. Nothing to be worried about. Although I would still want you to keep an eye on any mole for evolutionary changes.
Patient's Query
Hi doctor,
Thank you so much for your answer.
What do you think the little dots are in it? Is this a dysplastic mole as it has brown dots in it? I think they may just be tiny pores that show up in the flash maybe? They do not really show on the picture without the flash. I am worried. Please help.
Hello,
Welcome back to icliniq.com.
You seem to have such pigmented dots even on the normal skin without nevi in background that is evident from the picture (attachment removed to protect identity). Your picture makes me think it is either a prominent hair follicle or ingrown hair or broken capillaries. The picture does not fit into dysplastic mole in my opinion from my experience. But, if it still troubles you a lot, you can go for a biopsy of the same to rule out atypical histology.
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Dermatology
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