Thank you for the photographs. Its hard to comment without actually feeling the lesion but my first possibility would be an irritated sebaceous cyst. A follicular cyst is the second possibility. Both of these will not subside on their own but are harmless and can be left alone. Treatment involves removal through a small nick.I'd be happy to answer any further queries you may have. Regards.
You're most welcome. I'll address your questions one by one: 1) What do you mean by "removal by a small nick"? Ans. This is a small surgical incision about half an inch in length through which the cyst is removed intact.2) I had basically the same thing on my lower leg about 4 and 1/2 months ago and it appeared to disappear completely after 3 weeks or so. However, in that case, I didn't irritate it by using heavy finger pressure on the bump, or by putting a very hot heating pad on it. I think those two things have made this bump linger. Isn't it possible that if I don't irritate this and give it mild, basic treatment (like keeping it clean, applying a warm wash cloth occasionally, and maybe a Vitamin E/Vitamin C ointment) that it will subside and go away? Ans. Yes I was going to suggest this - that is if the bump subsides on its own then its unlikely to be a cyst and could be something like infection of the hair follicle. You could apply an OTC antibacterial cream like Bacitracin ointment over the bump for 14-21 days and see if that helps.I read some about sebaceous cysts on the Internet and saw an article that said that a warm compress can help the material in the cyst break away and be absorbed by the body Ans. Occasionally sebaceous cysts can resolve on their own. More often they persist. Warm compresses have no role to play in the resolution though.3) Do you think factors like stress, diet and hygiene could be factors in these types of cysts/irritations? I have been under a lot of stress lately (lost my job), my diet hasn't been the greatest and although I shower regularly, I have to admit that I don't use soap and a wash cloth on my lower legs on anything close to a regular basis. I've had boils before and found them connected to stress, diet and hygieneAns. Yes boils can be related to hygiene and stress but boils are pretty obvious things and you would know it from the pain on touching it and it would be quite warm as compared to the normal skin. Cysts on the other hand are not related to the factors you mentioned.Hope this helps!
Morning,Any thought as to why when I put heavy finger pressure on this cyst/follicular infection that it got worse (more tender/painful, more red, more swelling, etc.) and then when I stopped that it improved?Ans. This is common with cysts as they tend to get irritated by manipulation or external pressure. The same thing can happen with an infection.Also, the one day I put a hot heating pad on it for 15 minutes or so, it got more red in a circular area around the bump and the bump might've got a little bigger as well. When I stopped this, it got better too. Could this have been from irritation or inflammation from the hot pad? When I just use a warm wash cloth for a few minutes I don't get this reaction (that I did from the hot heating pad for 15 minutes).Ans. The increase in redness is due to increase in local blood supply as heat causes vasodilation - that i increase in the size of the blood vessels temporarily. A heating pad would cause this much more than just a warm wash cloth.