Irregular Orange-Red Lines on Hands: Causes and Concerns - Dermatology

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Mild erythema, asking again?


The skin on the hands is showing several irregular orange-red lines that appear suddenly and sometimes disappear just as quickly.
What could this condition be, or is it related to the cold weather?

Nìmíng, 20~29 year old female. Ask Date: 2016/03/15

Dr. Wu Yuxin reply Dermatology


The information you provided is too limited, and without actually seeing the lesion, it cannot be confirmed.
If it is causing significant distress, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/03/15

More Info


The appearance of irregular orange-red lines on the skin of your hands can be concerning, especially if they appear suddenly and then disappear. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into potential causes and considerations regarding this symptom.

Firstly, the transient nature of these lines suggests that they may not be indicative of a chronic condition. One possible explanation could be related to changes in blood flow or vascular responses in the skin. For instance, when exposed to cold temperatures, blood vessels constrict (a process known as vasoconstriction), which can lead to changes in skin color. When the blood flow returns to normal, the skin may appear flushed or show irregular lines as the vessels dilate again. This is often a benign response and can be exacerbated by environmental factors such as cold weather.

Another possibility is that these lines could be related to dermatological conditions. For example, conditions like dermatitis or allergic reactions can cause changes in skin appearance, including redness and irregular lines. If the lines are accompanied by itching, swelling, or other symptoms, it may be worth consulting a dermatologist for further evaluation.

In some cases, these lines could also be related to underlying vascular conditions, such as telangiectasia, which are small dilated blood vessels near the surface of the skin. These can appear as red or purple lines and may be more noticeable in certain areas, especially after physical activity or temperature changes.

If the lines are persistent, recurrent, or associated with other symptoms such as pain, swelling, or changes in sensation, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, possibly including blood tests or imaging studies, to rule out any underlying conditions that may require treatment.

In summary, while the irregular orange-red lines on your hands may be benign and related to environmental factors or temporary vascular changes, it is essential to monitor the situation. If you notice any concerning changes or if the lines persist, consulting a healthcare provider would be a prudent step. They can provide a more accurate diagnosis and appropriate management based on your specific situation. Remember, your health is paramount, and seeking professional advice is always a good practice when it comes to unexplained symptoms.

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