Red spots
I have many small red spots about 1mm in size concentrated near my ankles, with a few on my calves as well.
They are not raised, and they are not painful or itchy.
What could this be? I also searched online and found information about cherry angiomas.
Are cherry angiomas raised?
Hsu, 10~19 year old female. Ask Date: 2015/11/07
Dr. Wu Yuxin reply Dermatology
A literal description without actually seeing the lesion cannot confirm the diagnosis; it is recommended to have a dermatologist evaluate it for proper assessment.
Reply Date: 2015/11/07
More Info
The appearance of small red dots on the skin, particularly around the ankles and lower legs, can be concerning and may lead to various interpretations. Based on your description, these dots are approximately 1mm in size, non-raised, and asymptomatic (not painful or itchy). This presentation can be indicative of several conditions, but it’s essential to approach this with a clear understanding of potential causes and the importance of professional evaluation.
One possibility for the small red dots you are observing is petechiae, which are tiny, flat red or purple spots that occur due to bleeding under the skin. They can result from various factors, including minor trauma, certain medications, or underlying health conditions that affect blood clotting. However, petechiae typically do not blanch (turn white) when pressed, and their presence can sometimes indicate a more serious condition that requires medical attention.
Another potential cause could be cherry angiomas, which are benign growths of small blood vessels. These typically appear as small, raised red or purple spots and can vary in size. While cherry angiomas are usually harmless, they can sometimes be mistaken for other skin conditions, so it’s crucial to have them evaluated by a dermatologist if there’s any uncertainty.
You mentioned that you found information about cherry angiomas online and questioned whether they are raised. Indeed, cherry angiomas are generally raised and can vary in color from bright red to dark purple. They are common in adults and often increase in number with age. However, the dots you described do not seem to fit this profile since you indicated they are not raised.
Another consideration is keratosis pilaris, which often presents as small, rough bumps on the skin, usually on the arms, thighs, cheeks, and buttocks. While these are typically not red, inflammation can sometimes cause a reddish appearance. This condition is benign and often resolves with proper skin care.
Given that you have already conducted some research, it’s important to remember that self-diagnosis can lead to unnecessary worry or misinterpretation of symptoms. The best course of action is to consult a dermatologist who can provide a thorough examination and possibly recommend a biopsy or other diagnostic tests if necessary. They can help determine whether the red dots are benign or if they require treatment.
In summary, while the small red dots on your skin could be due to several benign conditions, it is crucial to seek professional medical advice for an accurate diagnosis. Dermatologists are trained to differentiate between various skin conditions and can provide you with the appropriate treatment options if needed. Always prioritize your health by consulting with a healthcare professional when you notice changes in your skin.
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