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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes painful, red and swollen skin tag under the arm?

Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8214 Questions

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Posted on Fri, 3 Aug 2018 in Skin Hair and Nails
Question: Hi. I have had a skin tag underarm for last 15 years or so.In last few weeks it has turned a lil red and inflamed and had swollen but then it has become small again but now it is also blackish and its painful to touch.Is there anything to be concerned about or can be an infection? Thank you
doctor
Answered by Dr. Kakkar S. 50 minutes later
Brief Answer:
Skin infection of tag

Detailed Answer:
Hello.. Thank you.
I have noted your concern. It is certainly a bacterial skin and soft tissue infection. Skin tag or acrochordan in a body fold site like axilla is prone to irritation from rubbing of opposing body folds against each other. This may cause ulceration of covering skin of tag thus exposing it to bacterial infection causing it to become inflamed with pain, pus/ discharge and swelling. This is what has happened in your case. This infection should resolve with a course of oral and topical antibiotics. This recent change is not a sign of malignancy. Acrochordan never turns into malignancy. So don't worry.
I would suggest that you get this skin tag removed after the infection resolves with oral and topical antibiotics (approx in about a week time) so as to prevent future similar situations.

Hope this helps
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 3 minutes later
Ok.thank you once again
doctor
Answered by Dr. Kakkar S. 25 minutes later
Brief Answer:
Regarding skin tag

Detailed Answer:
Thank you.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 10 hours later
So it looks like this right now..much different than how it looked last night. Is it getting better?
doctor
Answered by Dr. Kakkar S. 10 hours later
Brief Answer:
Continue medication

Detailed Answer:
Thank you. Continue the medicines for a week. It would take a week to heal.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 25 hours later
What can be done about a little discharge coming from the tag
doctor
Answered by Dr. Kakkar S. 5 hours later
Brief Answer:
Clean with Povidone Iodine Solution

Detailed Answer:
Hi.

You can use Povidone Iodine Solution (Betadine Solution) to clean the area, twice daily, before putting the antibiotic ointment. In addition I suggest you to continue with the oral antibiotics I suggested earlier.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Kakkar S. 2 days later
Does it seem like its getting better?
doctor
Answered by Dr. Kakkar S. 9 hours later
Brief Answer:
Regarding skin tag

Detailed Answer:
Hi.
Looks a little drier but the surface of tag still looks raw.
I suggest you to get this skin tag removed because it would be constantly getting rubbed against between opposing skin surfaces as it is in a body fold and that's why it may take a little longer to heal on medication. It anyways has to be ultimately removed else it will keep getting inflamed again and again. So better to get it removed sooner than wait.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 44 minutes later
Ok.thank you. Inwill have to schedule an appt with a dermatologist then,might be possible for next week. I will get it removed then.Thank you very much. Should I put a vbandage over it till then just to make sure it does not get so much friction. Also it doesnt look too worrisome to you,right?
doctor
Answered by Dr. Kakkar S. 38 minutes later
Brief Answer:
Regarding skin tag

Detailed Answer:
Hi.

Yes, you can cover it with a bandage. Meanwhile continue with the oral antibiotics. Also take a painkiller e.g Ibuprofen for pain and swelling.
No, it's not worrisome. Certainly not a malignancy.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kakkar S. 1 hour later
Ok.Thank you very much sir for ur timely advice.
doctor
Answered by Dr. Kakkar S. 19 hours later
Brief Answer:
Thank you.

Detailed Answer:
Thank you.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Kakkar S. 41 hours later
Thank you so much per your advice i had it removed and they even did biopsy and it came back negative. Really appreciate all ur help and ur diagnosis was thorough.
doctor
Answered by Dr. Kakkar S. 4 hours later
Brief Answer:
Thank you for your appreciation

Detailed Answer:
You are welcome.

Regards
Above answer was peer-reviewed by : Dr. Kampana
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