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What can cause a skin ulcer with a deep, small hole in the middle of the head skin?

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

Patient's Query

Hi doctor,

My father has a skin ulcer in the head skin. It is semi-deep with a deep, small hole in the middle.

I need help with diagnostic and treatment advice.

Thank you.

Answered by Dr. Vandana Andrews

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your query and concern.

A skin ulcer on the head with a deep, small hole in the middle could have several potential causes. Some possibilities include:

1. Pressure ulcer: If your father spends long periods of time in one position or has limited mobility, pressure ulcers can develop. These are often caused by prolonged pressure on the skin, leading to tissue damage.

2. Traumatic injury: A deep cut, wound, or trauma to the head can result in an ulcer. This could be due to an accident, injury, or surgery.

3. Infection: Skin ulcers can be caused by infections, such as bacterial or fungal infections. It is possible for an infection to develop in an existing wound or ulcer.

4. Skin conditions: Certain skin conditions, such as vasculitis or pyoderma gangrenosum, can cause ulcers to form on the skin.

It is important to have a doctor evaluate the ulcer and determine the underlying cause. They may perform a physical examination, take a detailed medical history, and possibly order tests, such as a biopsy or culture, to help with the diagnosis. I had a look at the images sent by you (attachments are hidden to protect the patient's identity). Once a diagnosis is made, treatment options will depend on the underlying cause.

Treatment may involve wound care techniques, such as cleaning the wound, applying dressings, and managing any infection. In some cases, your father may require medications, such as antibiotics or topical creams, to promote healing and prevent infection. Again, I strongly suggest reaching out to a doctor for a physical examination, who can provide an accurate diagnosis and appropriate treatment plan based on your father's specific condition.

I wish your father a speedy recovery.

Take care.

Medically reviewed by iCliniq medical review team
Published At December 31, 2023
Reviewed At June 10, 2026

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

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