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Suggest Treatment For Painful Sore Near The Knee
Question: I have a sore near my knee like a byte that won't heal. It is raw but not oozing. It is hard under the skin. It is not bleeding. It is a month old. It is numb around it. It is 1/4-inch in diameter.
Brief Answer:
Granuloma, scar, lichen ?
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/61 - sore near the knee like a bite- raw but not oozing - not bleeding - hard under the skin - 1/4 inch in diameter - tried antibiotic ointment and tegaderm ointment - not healing - for 1 month ...
Please give me a few more details for me to assist you more.
- Was there any history of insect bite or trauma?
- Any itching or scaling?
- can you please post a clear picture/photograph for me to see the exact nature of the lesion?
Please post as YYYY@YYYY
Since the lesion is a month old, it needs a clinical evaluation and examination and possibly a biopsy if required / if hte clinical diagnosis is not conforming to a particular disease in a classical way.
The most likely causes are:
Granuloma formation after a trivial injury or an insect bite.
Some skin lesions like Lichen or so.
Just a scar tissue that is not healing as it is near the joint and hence no rest to the area.
The treatment will depend upon a proper diagnosis.
Awaiting for your feedback and picture.
Granuloma, scar, lichen ?
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/61 - sore near the knee like a bite- raw but not oozing - not bleeding - hard under the skin - 1/4 inch in diameter - tried antibiotic ointment and tegaderm ointment - not healing - for 1 month ...
Please give me a few more details for me to assist you more.
- Was there any history of insect bite or trauma?
- Any itching or scaling?
- can you please post a clear picture/photograph for me to see the exact nature of the lesion?
Please post as YYYY@YYYY
Since the lesion is a month old, it needs a clinical evaluation and examination and possibly a biopsy if required / if hte clinical diagnosis is not conforming to a particular disease in a classical way.
The most likely causes are:
Granuloma formation after a trivial injury or an insect bite.
Some skin lesions like Lichen or so.
Just a scar tissue that is not healing as it is near the joint and hence no rest to the area.
The treatment will depend upon a proper diagnosis.
Awaiting for your feedback and picture.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Photo attached. Tegaderm is a type of bandage. This is about 4-inches above knee cap so not bothered by movement. I woke up with this one morning. Thought is was a byte. Picked at it an squeezed it to try and make it bleed but to no avail. I am diabetic type 2. Could this be nerve related?
Brief Answer:
post-sting or infection-
Detailed Answer:
Thanks for your feedback and a clear picture and an additional history.
Well, since it is above the joint the movement of the knee will not affect anything.
As per your history, this looks to be a bite /sting or infected sebaceous cyst that has embedded into the fat and hence does not get proper healing as the blood supply becomes precarious.
In addition since the oxidative byproducts of metabolism are not carried away, the lump remains so.
This will get adsorbed over time.
Diabetes adds on to the problems slowing the metabolism process.
If this is nerve related, it would have caused pain or parasthesia (altered sensation). I do not think that this is related to any nerves.
I hope this answers helps you.
post-sting or infection-
Detailed Answer:
Thanks for your feedback and a clear picture and an additional history.
Well, since it is above the joint the movement of the knee will not affect anything.
As per your history, this looks to be a bite /sting or infected sebaceous cyst that has embedded into the fat and hence does not get proper healing as the blood supply becomes precarious.
In addition since the oxidative byproducts of metabolism are not carried away, the lump remains so.
This will get adsorbed over time.
Diabetes adds on to the problems slowing the metabolism process.
If this is nerve related, it would have caused pain or parasthesia (altered sensation). I do not think that this is related to any nerves.
I hope this answers helps you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there a way to tell if it is a byte or a sebaceous cyst? And, if it is a sebaceous cyst, how is that treated?
Brief Answer:
Most probably post-bite.
Detailed Answer:
Well, this is most probably a post-bite as per your history, findings and picture.
Sebaceous cyst would rarely appear like this.
Hence the most chances are of the bite.
You may please get clinical evaluation and examination by a Surgeon to ascertain the exact extent and possible treatment.
Most probably post-bite.
Detailed Answer:
Well, this is most probably a post-bite as per your history, findings and picture.
Sebaceous cyst would rarely appear like this.
Hence the most chances are of the bite.
You may please get clinical evaluation and examination by a Surgeon to ascertain the exact extent and possible treatment.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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