Unexplained Red Spots on Skin: Causes and Concerns - Surgery

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Developing unexplained red spots?


Recently, I've been developing red spots on my body, distributed in different areas, especially on my hands, and I've also started to notice some on my face.
The day before, I didn't have them before going to bed, but when I woke up the next day, they appeared.
The red spots are not large and are not itchy.
Could this be due to insect bites or is there a skin issue?

Zheng Xing Nü Zi, 10~19 year old female. Ask Date: 2016/04/18

Dr. Li Zhonghuai reply Surgery


Hello! Please visit the dermatology department for consultation.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/04/18

More Info


Unexplained red spots on the skin can be concerning, especially when they appear suddenly and without any accompanying symptoms like itching or pain. There are several potential causes for these red spots, and understanding them can help guide you toward the appropriate next steps.

1. Allergic Reactions: One common cause of sudden red spots is an allergic reaction. This could be due to contact with allergens such as certain foods, medications, or even environmental factors like pollen or pet dander. In some cases, the skin may react to new products, such as soaps, lotions, or detergents.

2. Insect Bites: While you mentioned that the spots are not itchy, insect bites can sometimes present as red spots without significant discomfort. Mosquitoes, fleas, or bedbugs can leave small red marks that may not itch immediately. If you suspect insect bites, consider your environment and any recent changes, such as travel or new pets.

3. Petechiae: These are small, pinpoint red spots that can appear due to bleeding under the skin. They can be caused by various factors, including physical strain, certain medications, or underlying medical conditions. If you notice that the spots do not blanch (turn white) when pressed, it may be worth consulting a healthcare provider.

4. Viral Infections: Some viral infections can cause rashes or red spots on the skin. Conditions like viral exanthems (rashes associated with viral infections) can present with red spots, often accompanied by other symptoms like fever or malaise. If you have any other symptoms, it may be worth considering this possibility.

5. Dermatological Conditions: There are several skin conditions that can cause red spots, including eczema, psoriasis, or even conditions like hives (urticaria). These conditions may not always present with itching, especially in their early stages.

6. Heat Rash: If you have been in a hot environment or sweating excessively, you might develop a heat rash, which can appear as small red spots or bumps on the skin.

7. Other Causes: Other potential causes include conditions like folliculitis (inflammation of hair follicles), keratosis pilaris (a common skin condition that causes small, red bumps), or even more serious conditions like vasculitis or autoimmune disorders.

Given that the red spots are new and unexplained, it is advisable to monitor them closely. If they persist, change in appearance, or if you develop additional symptoms (such as fever, swelling, or pain), it would be prudent to seek medical attention. A dermatologist can provide a thorough examination and may recommend tests to determine the underlying cause of the spots.

In the meantime, avoid scratching or irritating the spots, and consider keeping a diary of any new products, foods, or activities that coincide with the appearance of the spots. This information can be helpful for your healthcare provider in determining the cause.

In summary, while there are many potential causes for unexplained red spots on the skin, careful observation and consultation with a healthcare professional can help identify the issue and guide appropriate treatment.

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