Breast Skin Issues: What Do Red Spots Mean?

Breast issues

Doctor, a few weeks ago I noticed a dark red circular spot on the outer skin of my right chest.
It was a bit painful when pressed, and after a few days, it started to peel and turned a bit red with some blood vessels appearing around it.
A few days later, I noticed another similar red circular spot nearby, which was also painful when pressed, but now it doesn't hurt, although there is still a red spot with blood vessels and some broken skin.
The size is approximately 0.1 to 0.2 cm, and it looks somewhat like a spider angioma.
Could this be the case, or could it be something else? Is it serious? Thank you.
🙏

Ling, 10~19 year old female. Ask Date: 2020/10/27

Dr. Yuan Tianmin reply Breast and Thyroid

It may still be necessary to see a dermatologist, as it could be an infection, a hemangioma, or other possibilities.

Reply Date: 2020/10/27

More Info

When it comes to skin issues on the breast, particularly concerning red spots or lesions, it's essential to approach the situation with caution and seek medical advice. Based on your description, it sounds like you are experiencing a concerning skin condition that could have multiple potential causes, including infections, inflammatory conditions, or even benign growths.

The dark red spots you mentioned, especially if they are painful and have changed over time, could be indicative of several conditions. One possibility is a sebaceous cyst or a pilar cyst, which can become inflamed or infected, leading to redness, pain, and sometimes drainage of fluid. These cysts are generally benign but can cause discomfort and may require surgical intervention if they become problematic.

Another possibility is a condition known as dermatitis, which can manifest as red, itchy patches on the skin. This could be due to contact dermatitis from irritation or an allergic reaction to materials such as fabrics or soaps. If the area has been scratched, it could lead to secondary infections, which would explain the pain and the presence of blood or fluid.

The mention of "spider angiomas" is also worth considering. These are small, dilated blood vessels that can appear on the skin and may resemble red spots. They are usually harmless but can sometimes indicate underlying liver issues if they appear in large numbers. However, the pain and the changes you describe suggest that it might not be a simple case of spider angiomas.

Given the symptoms of pain, redness, and the presence of blood or fluid, it is crucial to consult a healthcare professional as soon as possible. A dermatologist or a primary care physician can perform a physical examination and may recommend further tests, such as a biopsy or imaging, to determine the exact nature of the lesions.
In the meantime, here are some general recommendations:
1. Avoid Scratching: It’s essential to avoid scratching the affected area, as this can lead to further irritation or infection.

2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid using harsh soaps or scrubs that could irritate the skin further.

3. Avoid Irritants: If you suspect that certain fabrics or products may be causing irritation, try to avoid them until you can see a doctor.

4. Monitor Changes: Keep an eye on the spots for any changes in size, color, or symptoms. Documenting these changes can be helpful for your healthcare provider.

5. Seek Medical Attention: Given the symptoms you described, it’s important to seek medical attention promptly. Early diagnosis and treatment can help prevent complications and provide peace of mind.

In conclusion, while there are several potential explanations for the symptoms you are experiencing, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. Skin issues, especially those that change over time or are associated with pain, should not be ignored, and timely intervention can lead to better outcomes.

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