Red Spots on Chest: Causes and Treatment Options

There are red spots on the chest area?

I have red spots on my chest and the upper part of my shoulders that feel similar to acne.
When I touch them, I can feel their presence, but some of them feel like scars and have a slightly dark coffee color.
Those must be scars, right? They are not painful! It's been a while, but they don't seem to be going away! Initially, I only had 4 to 5 spots, thinking they would disappear, but now I have more than 10 or even more! Is this acne? My friend told me to try using medicated soap.
Is that effective? By the way, is there a way to make those dark coffee-colored spots disappear?

Yuan, 10~19 year old female. Ask Date: 2005/08/04

Dr. Jiang Zheen reply Dermatology

Please visit the dermatology outpatient clinic for medical attention.
Thank you.

Reply Date: 2005/08/04

More Info

Red spots on the chest can be concerning, especially when they resemble acne but do not behave like typical pimples. Based on your description, it sounds like you may be dealing with a few different potential skin conditions. Let's explore the possible causes and treatment options.

Possible Causes of Red Spots
1. Acne or Acneiform Eruptions: While you mentioned that the spots feel similar to acne, they do not exhibit typical characteristics such as pus or itching. Acne can occur on the chest and shoulders, especially in individuals with oily skin or those who sweat frequently. However, if the spots are not inflamed or painful, they may not be traditional acne.

2. Folliculitis: This is an inflammation of the hair follicles that can cause red bumps or spots. It can be caused by bacterial infections, fungal infections, or irritation from shaving or tight clothing. Folliculitis can sometimes resolve on its own, but persistent cases may require treatment.

3. Keratosis Pilaris: This is a common, benign skin condition characterized by small, rough bumps, often found on the upper arms, thighs, and sometimes the chest. It occurs due to the buildup of keratin, a protein in the skin. While it is not harmful, it can be cosmetically bothersome.

4. Post-Inflammatory Hyperpigmentation: If the red spots have faded to a darker, coffee-colored hue, they may represent post-inflammatory hyperpigmentation. This occurs when the skin darkens after an inflammatory process, such as acne or irritation. These spots can take time to fade and may require specific treatments to improve their appearance.

5. Allergic Reactions or Dermatitis: If you have recently changed soaps, detergents, or skincare products, you might be experiencing an allergic reaction or contact dermatitis, which can manifest as red spots or rashes.

Treatment Options
1. Over-the-Counter Treatments: If you suspect that the spots are acne-related, you might consider using topical treatments containing benzoyl peroxide or salicylic acid. These ingredients can help reduce inflammation and clear clogged pores. However, if the spots are not responding to these treatments, it may indicate a different underlying issue.

2. Gentle Cleansing: Using a mild, non-comedogenic soap or body wash can help keep the skin clean without causing further irritation. Avoid harsh scrubs or products that may exacerbate the condition.

3. Moisturizers: If you have keratosis pilaris or dry skin, applying a gentle moisturizer can help improve the texture of your skin. Look for products containing urea or lactic acid, which can help exfoliate and soften the skin.

4. Avoid Picking or Scratching: It’s essential to avoid picking at the spots, as this can lead to further irritation and potential scarring.

5. Consult a Dermatologist: Given that the spots have persisted for an extended period and have increased in number, it would be wise to consult a dermatologist. They can provide a proper diagnosis and recommend treatments tailored to your specific condition. This may include prescription medications or topical treatments that are more effective than over-the-counter options.

Addressing Hyperpigmentation
If you are concerned about the darker spots, treatments such as topical retinoids, vitamin C serums, or chemical peels may help lighten hyperpigmentation. However, these should be used under the guidance of a healthcare professional to ensure safety and efficacy.

Conclusion
In summary, while red spots on the chest can be caused by various conditions, it is crucial to seek a professional evaluation to determine the exact cause and appropriate treatment. Self-treatment may not always be effective, and a dermatologist can provide the best course of action tailored to your skin's needs. Remember, patience is key, as some skin conditions take time to resolve.

Similar Q&A

Understanding Red Spots on the Chest: Causes and Treatments

Recently, red spots have appeared on my chest. What could this condition be?

Dr. Zhang Zhibo reply Dermatology
Hello: Please describe your problem in detail. There are too many possibilities to provide an answer. It is advisable to consult a nearby physician.

Understanding and Managing Chest Red Spots: Causes and Treatments

Hello, Doctor. A few months ago, I developed a small red patch on my abdomen (about the size of a quarter). Recently, I have noticed multiple irregularly shaped red patches appearing, primarily on my abdomen and chest (more numerous there), and one under my armpit. These patches ...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue. If it is causing significant distress, please seek medical attention as soon as possible. A proper examination is necessary to identify the problem and determine the appropriate course of action.

Understanding and Treating Red Bumps on the Chest: Folliculitis Insights

Hello, I have small red spots on my chest (also on the upper part of my chest) that resemble pimples, but they are not painful and are bothersome when wearing clothes. The doctor said it is folliculitis, and I have taken medication, but it hasn't been effective. What can I d...

Dr. Hong Zhengsheng reply Dermatology
Hello Sherry Cu: Based on your written description, it is currently difficult to determine your specific condition. The most significant characteristic of skin diseases is that "seeing is believing, and texture can be felt." It is indeed challenging to convey a complete...

Understanding Transient Red Spots on the Chest: Causes and Treatments

I sometimes have red spots on my chest that do not hurt or itch; they are not growths (not acne). Sometimes they cover my entire chest and are about the size of a small marble. After observing them multiple times, I noticed they usually fade away on their own in about 20 to 30 mi...

Dr. Zhang Zhibo reply Dermatology
Hello: If possible, please take photos before and after the outbreak for easier diagnosis or communication. Generally, allergies do not necessarily have to be itchy; as long as the swelling subsides within a few hours, it can be classified as urticaria. If there is a chronic carr...