Why do I have a strange pinkish-purple bump on my toe?

Question

Hello doctor,

I have had this strange bump on the bottom of my left second toe for about a month now. It is pinkish-purple in color and feels rough in texture. This morning, I noticed a new one on my left pinky toe, but on the side instead of the bottom. This one is smaller, but I am sure it is the same thing. They are not exactly painful, but they feel uncomfortable when pressure is applied from the other side of the toe.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your description, a pinkish-purple, rough-textured bump on the bottom of your left second toe that has been present for about a month, along with a newer, smaller bump on the side of your pinky toe, the most likely diagnosis is plantar warts (verruca vulgaris), which are caused by the human papillomavirus (HPV). These often develop on pressure points of the feet, especially in areas exposed to friction or microtrauma, and may appear pink, purple, or grayish with a rough or grainy surface. They are usually not painful unless pressure is applied from the opposite side, as you are experiencing.

The appearance of a second bump suggests possible spread, which is common. While these are benign, they can persist or multiply without treatment. Over-the-counter (OTC) Salicylic acid preparations, duct tape occlusion therapy, or cryotherapy (freezing) are common treatments, though they may take several weeks. It is best to avoid walking barefoot in communal showers or pools to prevent the spread of germs.

If the lesions grow, multiply, become painful, or do not respond to OTC treatment, I recommend seeing a dermatologist for a definitive diagnosis and potential in-office options such as cryotherapy, laser, or immunotherapy. Keep the area clean, avoid picking at the bumps, and monitor for any changes in size or color.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.