Red spots
In early February, I developed ring-like erythema on my left palm, with about three to four lesions.
Recently, my face has also been flushing easily, and I have been experiencing unusual body heat.
Occasionally, I feel pain in my left shoulder.
What could this condition be?
Hi, 10~19 year old female. Ask Date: 2021/04/23
Dr. Wu Yuxin reply Dermatology
Based on the description, it is not possible to make a determination.
Without actually seeing the lesion, it cannot be confirmed.
If it is causing significant distress, please seek medical attention as it is necessary to be evaluated in person to understand the issue and determine the appropriate treatment.
Reply Date: 2021/04/23
More Info
When it comes to understanding red spots on the skin, particularly in the context of your symptoms, there are several potential skin conditions and underlying health issues that could be at play. Based on your description of ring-like red spots on your left hand, facial redness, unusual body heat, and occasional shoulder pain, it is essential to consider a few possibilities.
1. Ringworm (Tinea Corporis): The ring-like appearance of the red spots could suggest a fungal infection known as ringworm. This condition is characterized by circular, red, itchy patches that can appear on various parts of the body. It is caused by a fungus and is contagious, often spreading through direct contact or contaminated surfaces.
2. Erythema Multiforme: This is a condition that can cause red spots or patches on the skin, often in a target-like shape. It can be triggered by infections, medications, or other factors. Symptoms may include fever, malaise, and sometimes joint pain, which could correlate with your shoulder discomfort.
3. Psoriasis: This chronic autoimmune condition can lead to red, scaly patches on the skin. While it typically presents with silvery scales, it can also manifest as red spots. Psoriasis can be associated with systemic symptoms, including joint pain, which might explain your shoulder discomfort.
4. Lupus Erythematosus: Given your mention of facial redness and the potential for systemic symptoms, it is worth considering lupus, particularly if you have other symptoms such as fatigue, joint pain, or fever. Lupus can cause a characteristic butterfly rash on the face and can affect multiple systems in the body.
5. Allergic Reactions or Dermatitis: Allergic reactions to substances like soaps, lotions, or even foods can cause localized redness and irritation. Contact dermatitis could lead to red spots, especially if you've recently changed any products you use on your skin.
6. Vasculitis: This refers to inflammation of the blood vessels, which can lead to red spots or rashes on the skin. It can also cause systemic symptoms like fever and joint pain.
Given the complexity of your symptoms, it is crucial to seek medical attention for a thorough evaluation. A dermatologist or rheumatologist can provide a comprehensive assessment, which may include a physical examination, blood tests, and possibly a skin biopsy to determine the exact nature of your skin condition.
In the meantime, it is advisable to avoid any known irritants or allergens, maintain a gentle skincare routine, and monitor your symptoms closely. Keeping a diary of your symptoms, including any triggers you notice, can be helpful for your healthcare provider in making an accurate diagnosis.
In summary, while there are several potential conditions that could explain your symptoms, a definitive diagnosis can only be made through a professional evaluation. It is essential to address these symptoms promptly, especially since they involve systemic issues like body heat and joint pain. Early intervention can lead to better management and outcomes.
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