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Definition

Acrochordons is also known as cutaneous skin tags. It is a common skin condition involving small, generally benign skin growths. Cutaneous skin tags are very common, generally benign skin growths that occur most often after midlife. It develops on the armpit, groin, neck and face of people. They can develop in both men and women as they grow old. They are generally skin colored or darker and their size ranges from 1mm to 5cm.

Causes

Acrochordons consist of collagen fibers and blood vessels that are surrounded by a thin layer of skin. The causes of Acrochordons are basically precise unknown. The tendency to develop skin tags is inherited (runs in families). The precise cause is unknown. It is more than basically common in overweight individuals. Although acrochordons are usually not associated with any systemic abnormality, they can proliferate in pregnancy and in patients with benign or malignant acanthosis nigricans.

Symptoms

Acrochordons are flesh-coloured pedunculated lesions which occur in areas of skin folds. They are tiny skin protrusions, and may have a small narrow stalk connecting the skin bump to the surface of the skin. They are usually painless and do not grow or change.
Other characteristics are as follows:
Located on the neck, armpits, trunk, body folds, or other areas
May have a narrow stalk
Usually skin-colored, occasionally darker

Treatment

Treatment is not normally necessary unless the acrochordons are causing problems in one form or other. A skin tag that has become irritated and causes the patient pain may be removed and some people have the skin tags removed because they are in an area easily seen.

Treatment is usually not necessary unless the cutaneous tags are irritating or are cosmetically displeasing. The growths may be surgically removed, removed by freezing (cryotherapy), or electrically burning off (cautery). The skin tags are removed with the help of a scalpel or surgical scissors. It can result in some uncomfort for the patients and may cause scars. It may also result in excess bleeding for those patients who are taking blood thinners.
Cryotherapy is another option. In this procedure the acrochordons are frozen and then removed quickly and painlessly. This is a very expensive procedure and takes a longer period of time.

Using a cautery to electrically burn the tags off is also used. This procedure is not painful but expensive and can cause undo scarring.

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