Case Two
- “Doctor, these ‘moles’ keep getting caught on my necklaces. Can you remove them?”
Skin tags
- Acrochordonos are skin-colored to brown, often pedunculated, fleshy papules - They arise on the eyelids, neck, axillae, and groin - Usually asymptomatic, but can become painful secondary to irritation or infarction
Causes
- Genetics
- Obesity
- Friction may all play a role
- common in pregnancy
- marker for insulin resistance
Skin tag removal is elective
- Snipping (use pressure or aluminum chloride for any bleeding)
- Liquid nitrogen (for lighter skin types)
- Electrodessication
Occasionally skin tags will outgrow their blood supply or become twisted such that their blood supply is cut off and they undergo necrosis, subsequently falling off on their own.