Red Spots on the Thigh: Causes and Concerns - Dermatology

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Red spots on the thigh?


About a week ago, I noticed some slight red spots on my thigh that have been gradually increasing in number, but they are not many.
They appear to be beneath the epidermis, smooth, and not raised.
Based on the provided image link: https://imgur.com/a/H7au7, what could be the cause of this? Thank you for your response.

Shan, 10~19 year old female. Ask Date: 2016/06/01

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication," and therefore, online diagnosis is not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2016/06/01

More Info


When it comes to understanding red spots on the skin, particularly on the thigh, there are several potential causes and concerns that one should consider. The appearance of red spots, especially if they are smooth and not raised, can be indicative of various dermatological conditions or systemic issues.
Firstly, one common cause of red spots on the skin is petechiae, which are small, flat red or purple spots that can appear when tiny blood vessels (capillaries) break and bleed into the skin. This can occur due to a variety of reasons, including physical trauma, certain medications (like blood thinners), or underlying medical conditions that affect blood clotting or platelet function. If you have experienced any recent injuries or have been on medications that could affect your blood's ability to clot, this could be a potential explanation.

Another possibility is an allergic reaction or contact dermatitis, which can occur when the skin comes into contact with an irritant or allergen. This could be due to new laundry detergents, soaps, or even fabrics that your skin may be sensitive to. Allergic reactions can manifest as red spots, hives, or rashes, and they may be accompanied by itching or discomfort.

Infections, such as viral exanthems or even localized bacterial infections, can also present as red spots on the skin. If the spots are accompanied by other symptoms such as fever, swelling, or pain, it would be prudent to seek medical attention.
Additionally, conditions like eczema or psoriasis can cause red patches or spots on the skin, often accompanied by scaling or flaking. These are chronic conditions that may require ongoing management and treatment.

Given that you mentioned the spots have been increasing over the past week, it is essential to monitor them closely. If they continue to spread, change in appearance, or are accompanied by other symptoms such as fever, pain, or significant itching, it would be advisable to consult a healthcare professional. A dermatologist can provide a thorough examination and may recommend tests or treatments based on the specific characteristics of the spots and any associated symptoms.

In summary, while red spots on the thigh can arise from various causes, including trauma, allergic reactions, infections, or chronic skin conditions, it is crucial to observe their progression and seek medical advice if necessary. Early intervention can help address any underlying issues and prevent potential complications. Always prioritize your health and well-being by consulting with a healthcare provider for personalized advice and treatment options.

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