2023-06-26 16:48:48
And mole (more scientifically named “naïveté“) is a benign tumor of the skin. It appears as a flat or raised spot, most often brown in color. Nevertheless, sometimes a mole is pinkish to red in color. Do not panic, in the vast majority of cases, a red mole is harmless.
A red mole: what a funny color!
Despite its strange color, the red mole can be a simple atypical pigmented mole or a vascular nevus also called “ruby angioma“. Nevertheless, if the mole is evolving (if it grows or changes shape or color for example), it is best to consult a dermatologist in order to eliminate any risk of skin cancer.
An atypical mole
A pigment nevus results from an abnormal grouping of pigment cells called melanocytes. These moles are benign tumors that vary in appearance. When they have a homogeneous and well symmetrical brown (to black) color, they are said to be typical. However, they may be of another color (pink or red) less homogeneous and/or even asymmetrical, in which case they are said to be atypical.
THE atypical moles are mostly benign lesions. However, it is necessary to monitor them. If an atypical mole tends to change in color, shape or diameter, it is best to consult a dermatologist. In addition, individuals who have a large number of atypical moles have an increased risk of developing a serious type of skin cancer: malignant melanoma. Dermatological monitoring is recommended.
Other particular forms of moles can take on a pinkish to reddish color. This is particularly the case of nevus of Spitz. Typically, this mole is a rounded, smooth, well-circumscribed, symmetrical benign tumor, most often found on the face or lower extremities. This infrequent mole appears most often in people of young age and children.
Ruby angioma: a bright red mole
Sometimes a bright red speck on the skin can be identified as a nevus of vascular origin also called ruby angioma or cherry angioma. These nevi, totally benign, correspond to a dilation of the subcutaneous blood vessels (capillaries). They can appear anywhere on the body favored by aging and hormonal changes. Ruby angiomas are more common on fair skin.
Red grain that stings and burns: beware of insect bites!
Be careful, sometimes a red speck appears on the skin causing a burning sensation. It might well be a simple insect bite or an allergic reaction. Nothing to do with a mole. If the pain persists, better consult a doctor.
Why does a mole (nevus) turn red?
A mole that turns red can hide a simple skin inflammation. But, when the mole presents other abnormalities (tendency to change appearance in particular), vigilance must be in order, it might be a melanoma (cancer of the skin).
Inflammatory mole and pain
Some moles are hairy and a hair (or a sebaceous gland hanging from the hair) can be responsible for an inflammatory outbreak called subnevic folliculitis – this is particularly noticeable in the face. The formation of a small pimple is then possible. In this case, the inflammation and redness (erythema) should resolve by applying a simple alcoholic antiseptic or antibiotic cream for a few days. If signs persist, see a doctor.
Sometimes still, it happens that an inflammation at the level of a mole results from a irritation. This can be the consequence of poor localization when the nevus rubs once morest clothes where it is located in skin folds. The same is true if you tend to manipulate a mole. The irritation may be accompanied by slight bleeding. In this case, it is best to disinfect the mole with an antiseptic solution and protect it with a bandage.
Skin cancer (melanoma): why does the mole change color?
In some rarer cases, the red mole has a tendency to change color in places (inhomogeneous appearance). In this case, you should go to the doctor so that he eliminates any risk of skin cancer (or melanoma).
In general, must be the subject of a consultation:
any sudden new moles; any mole changes appearance (in color, shape or size in particular), begins to bleed, form a crust or itch for no reason.
How to recognize a disturbing red mole?
A red mole is not a priori worrying. However, you should make an appointment with the dermatologist if you notice any other peculiar characteristics of your mole that might suggest skin cancer (melanoma).
Your red mole might be considered suspicious if it has at least 3 of the following criteria (ABCDE method):
a Asymmetry (non-circular shape and two different halves); of the Birregular garbage (poorly delineated appearance); a Cuneven color (or a color change); A Ddiameter greater than 6/7 mm or an increasing size; A Escalability and a change in appearance over time.
Be careful, in order to best prevent the risk of melanoma, you should protect your skin and your moles from the sun’s rays (especially if you have fair skin). Avoid prolonged sun exposure or UV sessions in the cabin. When the weather is sunny, choose covering clothes and regularly apply sunscreen to your skin.
Treatment: when and how to remove a red mole?
A normal mole, even if it is red, cannot be removed unless:
it is a source of complex for the patient (aesthetic reason); it is located on a friction zone with the clothes or at the level of the skin folds (being often subject to irritation); he incurs a risk of malignant degeneration in particular in the event of a more or less rapid change in appearance and size (cf. criteria of the ABCDE rule).
In these situations, removal of the nevus can be achieved.
An unsightly or misplaced mole without risk of skin cancer, can be removed practically without scarring by the technique of Fractional CO2 laser with simple local anesthesia.
If a cancerous mole is suspected, a first excision is performed to establish the diagnosis (biopsy). If this intervention is not sufficient, a second excision with an additional scalpel will be performed. This second intervention will remove a larger size area (enlarged excision). If the area of skin removed is large, the wound cannot be stitched, skin autograft (the skin is taken from the patient himself) can then be used.
In some cases, one or more lymph nodes located in the lymphatic drainage area of the tumor are also removed. It’s’sentinel lymph node excision.
Finally, drug treatments can also be administered (chemotherapy, immunotherapy…) associated or not with radiotherapy in order to further limit the risk of recurrence.
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