Unexplained Red Dots on the Chin: Causes and Concerns

Unexplained red spots on the chin?

Hello Doctor: Last night, I suddenly noticed a red patch on my chin, and upon closer inspection, it appears to have small red spots that look like broken capillaries.
There are about two areas on my chin with this condition, and it has not dissipated by today.
I think I may have had this issue a month or two ago, but I didn't pay much attention at the time.
Additionally, I have small red spots on my limbs as well.
A few years ago, I was tested and did not have any autoimmune diseases.
Since I am certain there was no trauma, I would like to ask if crying could possibly cause this condition (I cried yesterday morning), or do I need to undergo a blood test to rule out any coagulation issues? Thank you, Doctor!

C, 20~29 year old female. Ask Date: 2021/11/08

Dr. Gao Jiankai reply Internal Medicine

Hello, thank you for your inquiry.
Based on the images, it does not appear to be a microvascular rupture or a vasculitis lesion.
I recommend further observation.
If you are truly concerned, it would be advisable to consult a dermatologist.
The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to assist you.

Reply Date: 2021/11/08

More Info

The appearance of unexplained red dots on the chin, particularly if they resemble broken capillaries or petechiae, can be concerning and warrants careful consideration of potential causes. Based on your description, it seems that you have noticed these red spots on your chin and other areas of your body, and you are wondering if emotional stress, such as crying, could be a contributing factor, or if you should pursue further medical evaluation, such as blood tests to rule out clotting disorders.

Firstly, it is important to understand that red spots on the skin can arise from a variety of causes. Petechiae, which are small red or purple spots caused by bleeding under the skin, can occur due to several reasons, including:
1. Physical Trauma: Even minor trauma that you might not remember can lead to the formation of petechiae. This could include activities like vigorous rubbing of the skin or even pressure from clothing.

2. Vascular Changes: Emotional stress and crying can lead to temporary changes in blood pressure and vascular permeability, potentially causing small blood vessels to leak. This might explain the sudden appearance of red spots, especially if you were crying recently.

3. Infections: Certain viral infections can lead to petechiae as part of their symptomatology. Conditions like viral illnesses or even localized skin infections could be a factor.

4. Allergic Reactions: Allergies to substances that come into contact with the skin can also lead to red spots. This could include reactions to skincare products, food, or environmental allergens.

5. Blood Disorders: While you mentioned that you have previously been tested for autoimmune diseases, it is still important to consider that blood disorders, such as thrombocytopenia (low platelet count) or clotting disorders, can lead to the appearance of petechiae. If you have a family history of bleeding disorders or if you notice additional symptoms such as easy bruising, prolonged bleeding from cuts, or unusual fatigue, it would be prudent to seek further evaluation.

6. Dermatological Conditions: Certain skin conditions, such as eczema or psoriasis, can also present with red spots or patches. If you have a history of skin issues, this could be a contributing factor.

Given that the spots have persisted for more than a day and considering your previous experience with similar symptoms, it would be advisable to consult a healthcare professional. A dermatologist or a primary care physician can perform a thorough examination and may recommend blood tests to assess your platelet count and other relevant parameters. This is especially important if you notice any changes in the pattern of the spots, such as an increase in number, size, or if they are accompanied by other symptoms like fever, fatigue, or unexplained bruising.

In summary, while emotional stress and crying could potentially contribute to the appearance of red spots on your chin, it is essential to consider a comprehensive evaluation to rule out any underlying medical conditions. Monitoring your symptoms and seeking medical advice will help ensure that any serious issues are addressed promptly.

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