What is the treatment for scalp bumps that bleed when touched?

Question

Hello doctor,

I have a small bump that appeared on my scalp a month ago. If I bump it with my comb or nail, it will bleed. I am now getting worried about it.

Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

You might be developing seborrheic keratoses. Seborrheic keratoses are the most common benign tumor that usually develops as we age. It is usually asymptomatic and begins with the appearance of one or more sharply defined, light brown, flat macules, as you mention, freckles, found to be most concentrated on the head, neck, and hands, with the highest amount of sun exposure.

No laboratory tests are needed, and you should look for the sudden appearance of multiple itchy lesions, known as the Leser-Trelat sign, associated with the development of adenocarcinoma of the gastrointestinal tract, lymphoma, Sezary syndrome, and acute leukemia.

I suggest you have 30 % Trichloroacetic acid cautery (TCA) or topical treatment with Tazarotene cream 0.1 % applied twice daily for 16 weeks.

I hope this information will help.

For more queries, feel free to reach out to me anytime.

Thank you.