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Skin Tag
Aka: Skin Tag, Acrochordon
- Definition
- Benign epidermal hyperplastic lesion
- Epidemiology
- Very common (occur in 25%) and increase with age
- Risk factors
- Obesity
- Signs
- Characteristics
- Usually pedunculated but may be sessile
- Flesh-color to brown
- May be up to 1 cm in size
- Distribution
- Axilla
- Neck
- Inguinal area
- Differential diagnosis
- Nevus
- Seborrheic Keratosis
- Nevoid Basal Cell Carcinoma syndrome
- Skin Tags seen in childhood
- Only indication to send Skin Tags for histology
- Chiritescu (2001) J Am Acad Dermatol 44:789-94
- Management
- Indications for excision
- Local irritation
- Cosmesis
- Biopsy if present in childhood (see above)
- Techniques for destruction
- Local Anesthesia only required for larger lesions
- Cut quickly in one stroke if not using anesthesia
- Pedunculated Skin Tags
- Excise with iris scissors
- Electrocautery at lesion base
- Cryotherapy (for small Skin Tags)
- Sessile Skin Tags
- Shave excision
- References
- Tavelli in Noble (2001) Primary Care, Mosby, p. 771
- Luba (2003) Am Fam Physician 67(4):729-738