Skin & Soft Tissue: Acrochordon (Skin Tag)

Basics

• Outgrowth of Normal Skin
• Most Common is Sites of High Friction (Axilla, Neck, Inframammary Fold & Inguinal Region)

Risk Factors

• Elderly
• Pregnancy
• Obesity
• Diabetes
• Metabolic Syndrome

Presentation

• Narrow Pedunculated Lesions
• Can Cause Pain When Caught on Clothing or Jewelry
• Can Infarct from Torsion – Appear Red/Black
• Perianal Skin Tags are Associated with Crohn’s Disease

Diagnosis

• Clinical (Based on History and Physical Exam)

Treatment

• Majority Do Not Require Any Treatment
• Indications for Treatment:
  • Symptomatic/Painful
  • Patient Preference (Cosmesis)
• Treatment Options:
  • Excision
  • Liquid Nitrogen Cryoablation
  • Electrodessication