Red Dots on Hands: Should You Be Concerned About Your Health?

Red dot-like spots on the hands?

Hello, Dr.
Tsai...
I've been experiencing many health issues recently that have made me very anxious.
In April, I had chest pain and was worried it might be related to COVID-19.
After a doctor's evaluation, I was told it was a respiratory issue and prescribed an inhaler.
In May, I started having severe headaches and was diagnosed with shingles.
I have been taking medication for shingles.
Recently, I noticed some small red spots on my skin (which I haven't had before) that have gradually appeared on both hands.
Initially, there were only one or two spots, but now it seems like there are many more! The red spots do not feel raised, and they are unevenly distributed, not clustered together.
I have two red spots on my fingers and four or five on my arms.
After researching online, they look similar to petechiae! I would like to ask the doctor if I need to get this checked out? Could the medication for shingles or the use of the inhaler be causing this? If I need to see a doctor, which specialty should I consult?

Xiao Hai, 20~29 year old female. Ask Date: 2020/05/08

Dr. Cai Guiqin reply Cardiology

It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2020/05/08

More Info

When it comes to the appearance of red dots on the skin, particularly on the hands, it is understandable to feel concerned, especially given your recent health issues. The red dots you are describing could potentially be petechiae, which are small, pinpoint-sized red or purple spots that can appear on the skin due to bleeding under the skin. However, they can also be caused by a variety of other factors, including allergic reactions, infections, or even certain medications.

Given your history of respiratory issues and the recent diagnosis of shingles (herpes zoster), it is essential to consider the context of your overall health. Shingles can lead to various skin manifestations, and while it is not typically associated with petechiae, the medications you are taking for shingles could potentially have side effects that affect your skin. Some antiviral medications can cause skin reactions, although this is not common.

Here are some steps you can take to address your concerns:
1. Monitor the Symptoms: Keep an eye on the red dots. If they increase in number, change in appearance, or if you develop additional symptoms such as fever, fatigue, or unusual bruising, it is crucial to seek medical attention promptly.

2. Consider Recent Changes: Reflect on any new medications, dietary changes, or environmental factors that may have contributed to the appearance of these red dots. Allergic reactions to new products (like soaps, lotions, or detergents) can also cause skin changes.

3. Consult a Healthcare Professional: Given your current health situation and the appearance of these red dots, it would be wise to consult a healthcare provider. You may want to see a dermatologist, who specializes in skin conditions, or your primary care physician, who can evaluate your symptoms in the context of your overall health.

4. Blood Tests: If the red dots are indeed petechiae, your doctor may recommend blood tests to check for underlying conditions, such as platelet counts or clotting disorders, which could explain the bleeding under the skin.

5. Medication Review: Discuss with your doctor the medications you are currently taking, including those for shingles. They can help determine if any of your medications might be contributing to your skin symptoms.

6. Lifestyle Factors: Ensure you are maintaining a healthy lifestyle, including a balanced diet, adequate hydration, and sufficient rest. Stress can also exacerbate skin conditions, so finding ways to manage stress can be beneficial.

In summary, while the appearance of red dots on your hands can be concerning, it is essential to approach the situation with careful observation and consultation with a healthcare professional. They can provide a thorough evaluation and determine if further investigation or treatment is necessary. Your health is paramount, and addressing any new symptoms promptly can help ensure that any underlying issues are identified and managed effectively.

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