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Abstract Skin tags are benign connective tissue tumours of the dermis that presented as soft flesh to brown coloured, pedunculated or sessile protrusions on the flexures of middle aged and elderly patients. They are quite common and develop in 25% of the population. Biopsy reveals a papillomatous acanthotic epidermis overlying a loose fibrous tissue similar to that of the papillary dermis. The cause of skin tags is unknown, although aging, obesity, insulin resistance, colonic polyposis, human papilloma virus (HPV) infection, pregnancy, menopause, acromegaly, excess of prolactin and genetic susceptibility have been proposed as potential aetiological or associated factors |