Persistent Skin Bumps and Red Spots: When to Seek Dermatological Help

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If there are areas on your hands and feet with small, persistent bumps that do not go away, it may be advisable to get them checked.
This could be a condition such as keratosis pilaris or another dermatological issue.

The presence of small red spots could indicate a variety of conditions, including petechiae, folliculitis, or other skin irritations.

If you have granular lesions in your ears that seem to return shortly after being scraped off, this could be related to a condition like seborrheic keratosis or another type of skin growth.

It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

KK, 10~19 year old female. Ask Date: 2011/05/07

Dr. Guo Fengsheng reply Dermatology

First, please read the Chinese text carefully before asking questions.
Avoid using informal language.
The situation described has too many possibilities; it is advisable to visit a nearby dermatology clinic.
If there is no improvement, please ask more specific questions.

Reply Date: 2011/05/07

More Info

When it comes to persistent skin bumps and red spots, it’s essential to understand that these symptoms can arise from a variety of skin conditions. The presence of bumps that do not disappear, along with red spots, can indicate underlying issues that may require dermatological evaluation.
Firstly, the bumps you describe could be a form of keratosis, such as seborrheic keratosis, which is a benign growth that often appears as a rough, raised bump on the skin. These are common in adults and can vary in color from light tan to black. They are generally harmless and do not require treatment unless they become bothersome or for cosmetic reasons.

Another possibility is folliculitis, which is the inflammation of hair follicles that can lead to red bumps and sometimes pus-filled lesions. This condition can be caused by bacterial infections, irritation from shaving, or even fungal infections. If the bumps are itchy or painful, it may be worth consulting a dermatologist.

The red spots you mentioned could be a sign of several conditions, including allergic reactions, eczema, or even conditions like psoriasis. Eczema can cause red, itchy patches that may become scaly, while psoriasis can lead to red patches covered with thick, silvery scales. Both conditions can be chronic and may require ongoing management.

Regarding the granular bumps you observe on your ears, these could be sebaceous cysts or even a form of skin tags. Sebaceous cysts are small lumps beneath the skin that can occur when a hair follicle becomes blocked. They are typically harmless but can become infected or inflamed. Skin tags, on the other hand, are benign growths that can appear anywhere on the body, often in areas where skin rubs against skin.

Given that these symptoms have persisted and are causing you concern, it is advisable to seek a consultation with a dermatologist. A dermatologist can provide a thorough examination, possibly perform a biopsy if necessary, and offer a definitive diagnosis. They can also recommend appropriate treatment options based on the specific condition diagnosed.

In summary, persistent skin bumps and red spots can arise from various skin conditions, and while some may be benign, others may require medical attention. It is always better to err on the side of caution and consult a healthcare professional if you notice changes in your skin that are concerning or persistent. Early intervention can often lead to better outcomes and peace of mind.

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