Skin Tags (acrochordon)

Diagnosis: Skin Tags (acrochordon)

Multiple soft, skin-coloured and tan, oval and pedunculaed papilloma on the abdomen.

Clinical Presentation

Multiple soft, skin-coloured and tan, oval and pedunculaed papilloma on the abdomen.

Clinical History

Submitted by Alaa Saad. Originally posted November 21, 2010.

Treatment

See case discussion.

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: skin, tags, acrochordon, alaa saad