Red Spots Near the Joint: Possible Skin Conditions - Dermatology

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There are red spots near the joint of the arm?


Hello, doctor.
I would like to ask about the numerous red spots that have appeared near the joint area of my left upper arm (they are not bright red, but somewhat purplish, flat to the touch, and not painful or itchy).
There are also sporadic suspected petechiae in other areas of my upper arm.
My right arm had similar spots a while ago, but they disappeared after a few days.
Could you please explain what this might be? I do not have joint pain or fever.
Thank you for your response.

Xiao Ku, 10~19 year old female. Ask Date: 2021/07/21

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: 2021/07/21

More Info


The appearance of red spots near the joints, particularly on the upper arm, can be concerning, especially when they are described as flat, purple, and non-painful or itchy. While I cannot provide a definitive diagnosis without a physical examination, I can discuss some potential skin conditions that may be relevant to your symptoms.

One possibility is petechiae, which are small, flat red or purple spots that can appear on the skin due to bleeding underneath. They are often caused by minor trauma, but they can also result from conditions that affect blood clotting or blood vessel integrity. If you have experienced any recent injuries, even minor ones, this could explain the appearance of these spots. However, if there is no clear cause, it may warrant further investigation.

Another potential condition is purpura, which is similar to petechiae but usually larger. Purpura can occur due to a variety of reasons, including infections, certain medications, or underlying health issues such as vasculitis or thrombocytopenia (low platelet count). Given that you mentioned the spots are near the joint and that you have had similar spots on your right arm that resolved quickly, it may be worth considering if there is a recurring issue, possibly related to your activities or environmental factors.

Allergic reactions or dermatitis could also present with red spots, although these typically come with additional symptoms like itching or swelling. Since you mentioned that the spots are not itchy or painful, this may be less likely.

In terms of management, if the spots are not causing any discomfort and are not associated with other symptoms such as fever, joint pain, or significant changes in your health, you might consider monitoring them for any changes. However, if you notice an increase in the number of spots, changes in their appearance, or the development of new symptoms, it would be prudent to seek medical attention.

Moisturizing the skin can help if dryness is a contributing factor, but it is essential to avoid any products that may irritate the skin further. If you suspect an allergic reaction, identifying and avoiding the trigger would be beneficial.

In conclusion, while the red spots you describe may not be immediately alarming, they do warrant attention, especially if they persist or change. It is always best to consult with a healthcare professional who can perform a thorough examination and possibly recommend tests to rule out any underlying conditions. If you are experiencing any additional symptoms or if the spots begin to cause discomfort, please seek medical advice promptly.

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