Why Is My Cyst Purple? Common Causes & What to Do

A cyst turning purple can be concerning, often indicating internal changes. This article provides general information on why a cyst might appear purple and when to seek professional medical advice.

Understanding Cysts

A cyst is a sac-like pocket of tissue that can form in various parts of the body. It typically contains fluid, air, pus, or other materials. Cysts are distinct from surrounding tissues, with their own wall. Most cysts are benign, meaning they are not cancerous. While some cysts may resolve on their own, others might require medical attention.

Why Cysts Turn Purple

Several factors can cause a cyst to appear purple, often indicating internal changes. Bleeding inside the cyst, known as a hematoma, is a common reason for a purplish hue. When blood accumulates under the skin, it creates a bruise-like appearance, manifesting as purple, blue, or black discoloration.

Inflammation is another frequent cause of purple discoloration. When a cyst becomes inflamed, blood vessels dilate, increasing blood flow and leading to redness and swelling. This inflammatory response can give the skin over the cyst a purplish tint. An inflamed cyst may also feel tender or warm.

The superficial location of a cyst can also influence its visible color. Cysts close to the skin’s surface more readily show underlying changes, including the color of their contents, internal bleeding, or inflammation. This proximity allows purplish tones from blood or inflammation to be more apparent through the skin.

While often benign, discoloration could signal an infection within the cyst. An infected cyst might present with spreading redness, increased pain, warmth, or pus discharge, which can contribute to a purplish appearance. In rare cases, a discolored cyst might indicate other, more complex conditions, requiring medical evaluation.

When to Consult a Doctor

Seek professional medical attention for a cyst that has turned purple or exhibits other concerning changes. Rapid growth or a noticeable change in the cyst’s appearance warrants evaluation. Pain, tenderness, or warmth around the cyst also warrant medical consultation.

Signs of infection, such as spreading redness, discharge of pus, or systemic symptoms like fever and chills, require prompt medical assessment. If the cyst interferes with daily activities or is located in a sensitive area, a doctor should examine it. Any uncertainty about the nature of a lump or new, associated symptoms should also prompt a visit to a healthcare provider.

Medical Evaluation and Care

When consulting a healthcare professional about a purple cyst, the process typically begins with a physical examination. The doctor will visually inspect and palpate the cyst to assess its size, consistency, and any associated tenderness or warmth. A detailed medical history will also be taken, including questions about the cyst’s duration, any changes observed, and other symptoms.

Depending on the initial assessment, diagnostic tools may be used. An ultrasound, for instance, is a common non-invasive imaging technique that can help determine the cyst’s contents, such as whether it is fluid-filled or solid. In some situations, especially if there is concern about the cyst’s nature, a biopsy might be performed, where a small tissue sample is taken for microscopic examination.

Treatment approaches vary based on the cyst’s type, size, location, and symptoms. For benign, asymptomatic cysts, “watchful waiting” may be recommended. If infected or causing symptoms, options include drainage or surgical excision to prevent recurrence. Only a medical professional can determine the most appropriate course of action.