Dermatology Book

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Skin TagAka: Acrochordon

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

Skin tag (C0037293)

ConceptsNeoplastic Process (T191)
EnglishAchrochordon, Acrochordon, Cutaneous Fibroepithelial Polyp, Cutaneous polyp, Cutaneous tag, Fibroepithelial papilloma, Fibroepithelial polyp, Fibroepithelial Polyp of Skin, Fibroepithelial Polyp of the Skin, Fibroma molle, SKIN POLYP, Skin tag, SKIN TAG S, Soft fibroma, Soft papilloma, Tag
Spanishacrocordón, acrocordon, apéndice cutáneo, apendice cutaneo, fibroma blando, pólipo fibroepitelial, papiloma blando, papiloma cutáneo, papiloma cutaneo, papiloma fibroepitelial, polipo fibroepitelial
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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