Red Dots on Palm: Potential Skin Conditions - Dermatology

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Red spots on the palm?


Hello doctor, a few days ago I noticed a tingling sensation in my right hand fingers when bending them, but it went away.
However, now I have red spots on my palm, and I experience a sharp pain when rubbing lotion on my hands.
What could this condition be?

Xingkong, 10~19 year old female. Ask Date: 2024/02/21

Dr. Wu Yuxin reply Dermatology


It is difficult to assess based on your description.
It is recommended to consult a nearby dermatologist for evaluation and treatment.

Reply Date: 2024/02/21

More Info


Red dots on the palm, especially when accompanied by sensations like tingling or pain, can be indicative of several potential skin conditions. Based on your description, it is important to consider a few possibilities, including allergic reactions, dermatitis, or even conditions like eczema or psoriasis.
One common cause of red dots on the palms is contact dermatitis, which can occur when the skin comes into contact with irritants or allergens. This could be due to a new lotion or soap that you have used, especially if it contains fragrances or harsh chemicals. The tingling sensation you experienced when bending your fingers could also be related to irritation or inflammation in the skin.

Another possibility is a condition known as dyshidrotic eczema, which is characterized by small, itchy blisters on the palms and fingers. This condition often flares up in response to stress, heat, or exposure to certain metals, such as nickel. The blisters can sometimes become red and painful, especially if they are scratched or irritated.

Psoriasis is another skin condition that can cause red spots or patches on the skin. It is an autoimmune disorder that leads to the rapid growth of skin cells, resulting in thick, red, scaly patches. While psoriasis typically affects other areas of the body, it can also appear on the palms and soles.

If you are experiencing pain or discomfort when applying lotion, it may be a sign that the skin is inflamed or sensitive. It is advisable to stop using any new products that may have triggered this reaction and to opt for gentle, fragrance-free moisturizers.
In terms of treatment, it is essential to identify the underlying cause of the red dots. If you suspect an allergic reaction, over-the-counter antihistamines may help alleviate symptoms. For contact dermatitis, applying a topical corticosteroid cream can reduce inflammation and itching. However, if the condition persists or worsens, it is crucial to consult a dermatologist for a thorough evaluation. They may perform a patch test to identify specific allergens or recommend prescription-strength treatments.

In summary, while red dots on the palm can be caused by various conditions, the key is to observe any accompanying symptoms and potential triggers. Avoiding irritants, using gentle skincare products, and seeking professional advice if symptoms persist will help in managing the condition effectively. Remember, early intervention is often the best approach to prevent further complications.

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