Unexplained Skin Lesions: Red, Painful, and Non-Bleeding Concerns

Skin with unexplained abrasions, no bleeding but red, and feels painful to the touch?

Recently, I have developed unexplained skin lesions that are not bleeding but are red and sting when touched.
There are multiple areas affected (one on my arm and one on my chest).
Last week, I noticed a lesion on my chest that was also unexplained; it did not bleed, but because it was painful, I applied a hydrocolloid dressing (which absorbed some white fluid).
After two days, when I changed the dressing, there was no fluid, but the area appeared to have a color similar to that of a healing wound with new tissue.
Today, I discovered a similar condition on my left arm, which I also covered; the lesions are mostly round or oval-shaped (about the size of a pinky nail).
I would like to know if this could be due to dryness or seasonal factors.
Would applying a moisturizing lotion help? Or could there be other possibilities? Thank you for your assistance, doctor.

kirua, 20~29 year old female. Ask Date: 2019/05/13

Dr. Wu Yuxin reply Dermatology

No lesions were observed, making it difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2019/05/13

More Info

Unexplained skin lesions can be concerning, especially when they present as red, painful, and non-bleeding areas. Based on your description, it seems that you are experiencing localized skin issues that may be related to a variety of factors, including environmental conditions, skin hydration, and potential dermatological conditions.

Firstly, the appearance of red, painful lesions that do not bleed could indicate several possibilities. One common cause could be irritant contact dermatitis, which occurs when the skin reacts to an irritant, leading to inflammation and discomfort. This can happen due to exposure to harsh soaps, detergents, or even environmental factors like dry air, especially during seasonal changes. In your case, if you have recently experienced dry skin or changes in your environment, this could be a contributing factor.

Another possibility is eczema, which is characterized by red, itchy patches that can become painful. Eczema can be exacerbated by dry skin, stress, and allergens. Given that you mentioned the lesions are painful and have a tendency to appear in multiple locations, it might be worth considering this as a potential diagnosis.

Applying a moisturizing lotion can indeed be beneficial. Keeping the skin well-hydrated helps to restore the skin barrier, which can prevent further irritation and promote healing. Look for moisturizers that contain ingredients like ceramides, hyaluronic acid, or glycerin, as these can help retain moisture in the skin. It's advisable to apply moisturizer immediately after bathing or washing your hands to lock in moisture.

If the lesions continue to appear or worsen, it would be prudent to consult a dermatologist. They can provide a thorough examination and may recommend treatments such as topical corticosteroids to reduce inflammation or other specific therapies based on the underlying cause. In some cases, a patch test may be necessary to identify any allergens that could be contributing to your skin issues.

In summary, while your symptoms may be related to dryness or seasonal changes, it is essential to monitor the lesions closely. Keeping your skin moisturized is a good first step, but if the lesions persist or if you experience additional symptoms such as increased pain, swelling, or fever, seeking medical advice is crucial. A dermatologist can help determine the exact cause of your skin lesions and recommend appropriate treatment options to alleviate your discomfort and promote healing.

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