Unexplained Red Spots on Palms: Should You See a Doctor?

Unknown red spots

There are unexplained red spots on both sides of my palms.
I researched online and found that this is called palmar erythema.
Should I see a doctor? If so, which specialty should I consult?

Hal, 10~19 year old female. Ask Date: 2022/08/01

Dr. Chen Shidian reply Gastroenterology and Hepatology

First, take a photo with your phone; if it's severe, you may want to see a dermatologist.

Reply Date: 2022/08/01

More Info

Unexplained red spots on the palms, often referred to as "palmar erythema" or "liver palms," can be concerning and may warrant a visit to a healthcare professional. While palmar erythema can be associated with liver conditions, it is important to note that it can also occur due to various other reasons, including hormonal changes, certain medications, and systemic diseases.

Given your description of the red spots, it is advisable to see a doctor, particularly a dermatologist or a primary care physician. A dermatologist specializes in skin conditions and can provide a thorough examination of the spots on your palms, while a primary care physician can evaluate your overall health and determine if the spots are indicative of a more systemic issue.

During your visit, the doctor will likely ask about your medical history, any medications you are taking, and other symptoms you may be experiencing. They may also perform a physical examination and, if necessary, order blood tests or imaging studies to assess liver function or rule out other potential causes of the red spots.

It is essential to consider the context of your symptoms. For instance, if you have a history of liver disease, excessive alcohol consumption, or other risk factors, the presence of red spots on your palms could be more significant. However, if you have no other symptoms such as jaundice (yellowing of the skin or eyes), fatigue, or abdominal pain, the spots may be benign.

In addition to liver-related issues, palmar erythema can be associated with conditions such as rheumatoid arthritis, pregnancy, hyperthyroidism, and certain infections. Therefore, a comprehensive evaluation is crucial to determine the underlying cause of the red spots.

If you notice any changes in the spots, such as increased size, pain, or bleeding, or if you develop additional symptoms like fever or unexplained weight loss, it is important to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.

In summary, while palmar erythema can be benign, it is wise to consult a healthcare professional to rule out any serious underlying conditions. A dermatologist or primary care physician would be the appropriate specialists to evaluate your symptoms and provide guidance on the next steps. Early diagnosis and treatment can lead to better outcomes, so do not hesitate to seek medical advice.

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