Skin Tag on Eyelid

Diagnosis: Skin Tag on Eyelid

Clinical History

Soft, pedunculated, flesh-colored papules in body folds. Association with obesity and insulin resistance. Screen for metabolic syndrome if multiple.

Treatment

No treatment necessary. Removal for cosmetic or symptomatic reasons: snip excision, cryotherapy, electrodesiccation.

Differential Diagnosis

• Nevus (pedunculated) • Neurofibroma • Seborrheic keratosis (pedunculated) • Molluscum contagiosum • Verruca filiformis • Basal cell carcinoma (pedunculated)

Key Learnings

• Also known as acrochordon or fibroepithelial polyp • Most common benign skin growth — prevalence increases with age • Predilection sites: neck, axillae, inframammary, groin — areas of friction • Associated with obesity, insulin resistance, type 2 diabetes • Multiple skin tags may warrant metabolic syndrome screening • Malignant transformation is essentially nonexistent • Birt-Hogg-Dubé syndrome: multiple fibrofolliculomas can resemble skin tags

Tags: dermatologist, dermatology, eyelid, skin tag