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What causes a new mole on toe?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a new mole on my toe that I have not noticed before, I have known it probably for a week, it is blackish and not round, about three to four mm wide, and sort of even in color. I am 21 years old male and as far as I know, we have no cancer history in my family. I can provide photos too. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I went through your case history and the photos provided by you (attachment removed to protect patient identity). I can see a dark irregular lesion of about 5 mm in size over the tip of the toe. As it is to 3 days history the first thing I want to rule out is an history of injury or bruise. They do present like this and you may have forgotten the history of trauma. Secondly, molesalso appear at this age and they also present like this if you have tendency of moles this may be a normal mole you can just observe it for few days. The other thing obviously is melanoma, acral lentiginous melanosis, this can be dangerous and has to be ruled by biopsy as soon as possible. But as you do not have any family history and if you do not have any other or very few moles over other parts of the body the chances again become very less. And again such a small history of the lesion the possibility is least. But to be sure you should monitor the lesion. Observe it for 5 days. If due to trauma, it will diminish and slowly go away. If persist and grow more immediately, go for a biopsy by a dermatologist for histopathogical examination.

The Probable causes

The probable cause is trauma

Investigations to be done

Do biopsy after five days.

Differential diagnosis

The differential diagnosis are intradermal hemorrhage and nevus

Probable diagnosis

nevus

Treatment plan

Do excision.

Preventive measures

none

Regarding follow up

Have a follow-up after five days.
Medically reviewed byDr. Divya Banu M
Published At May 5, 2020
Reviewed AtFebruary 4, 2025

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