Unexplained Redness, Itching, and Bruising: When to See a Doctor? - Family Medicine

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Unexplained localized redness, swelling, itching, and petechiae?


Hello Doctor: Recently, I have noticed a small area on the left side of my jaw extending to my neck, with red, raised bumps that resemble mosquito bites and are itchy.
There are more than five or six of these bumps.
I would like to know if this could be indicative of any disease.
Should I see a dermatologist? Additionally, I have also discovered a small bruise on my arm that appeared for no apparent reason.
It doesn't hurt, and I haven't bumped it.
The bruise is about the size of a green bean and is located on both sides of my forearm near the wrist.
I'm wondering if this could be related to any medical condition as well.
Is it appropriate to consult a dermatologist for this? Thank you for your response!

Tian, 20~29 year old female. Ask Date: 2022/05/03

Dr. Lin Zhebin reply Family Medicine


Hello: Regarding the rash from your left lower jaw to your neck, I personally suspect it could be due to mosquito bites or folliculitis (acne).
Additionally, concerning the small bruises on both of your arms, I suspect they might be superficial venous hemangiomas or moles.
However, since skin issues require a visual examination of the lesions for accurate diagnosis, I still recommend that you consult a dermatologist.

Reply Date: 2022/05/03

More Info


When experiencing unexplained redness, itching, and bruising, it is essential to pay attention to the symptoms and consider seeking medical advice. Your description of multiple itchy, raised red bumps on your left jaw and neck, along with unexplained bruising on your arms, raises several possibilities that warrant further investigation.

Firstly, the red, itchy bumps could be indicative of an allergic reaction, insect bites, or even a skin condition such as hives (urticaria). Allergic reactions can occur due to various triggers, including food, medications, or environmental factors like pollen or pet dander. Hives are characterized by raised, itchy welts that can appear suddenly and may vary in size. If you have recently been exposed to any new substances or environments, it could be worth considering if an allergy is the cause.

The unexplained bruising on your arms, particularly if it appears without any known trauma, can be concerning. Bruising can occur due to a variety of reasons, including minor injuries that you may not have noticed, certain medications (like blood thinners), or underlying health conditions that affect blood clotting. Conditions such as thrombocytopenia (low platelet count), clotting disorders, or even liver disease can lead to easy bruising.
Given these symptoms, it is advisable to consult a healthcare professional, specifically a dermatologist, who can evaluate your skin condition and the bruising. A dermatologist can perform a thorough examination and may recommend tests to determine the underlying cause of your symptoms. They may also inquire about your medical history, any recent changes in medications, or exposure to allergens.

In addition to seeing a dermatologist, if you experience any of the following symptoms, you should seek immediate medical attention:
1. Worsening Symptoms: If the redness, itching, or bruising spreads or worsens significantly.

2. Difficulty Breathing: If you experience shortness of breath, wheezing, or swelling of the face or throat, which could indicate a severe allergic reaction (anaphylaxis).

3. Severe Pain: If you develop significant pain in the affected areas or elsewhere in your body.

4. Fever: If you develop a fever along with your symptoms, which could indicate an infection.

5. Persistent Symptoms: If the symptoms do not resolve within a few days or continue to recur.

In summary, while the symptoms you are experiencing may not necessarily indicate a severe condition, they do warrant a professional evaluation to rule out any serious underlying issues. Consulting a dermatologist is a prudent step, as they can provide targeted advice and treatment options based on your specific situation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.

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