[18F] With red dots on hands and feet

Patient Description

An 18-year-old female reports the appearance of small red dots on her hands and feet that partially sting and partially itch. These symptoms have been present for about a day. The patient denies any discharge from the eyes, recent contact with individuals with eye infections, injuries or trauma to the affected areas, use of new skincare products, soaps, or detergents, swelling around the red spots, fever, chills, or recent travel. The patient uses alcohol and marijuana but is not currently taking any medications. There is no family history of heart disease, stroke, autoimmune diseases, diabetes, cancer, or psychiatric illnesses, and the patient has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for the red dots on your hands and feet that sting and itch:

  • Contact Dermatitis: This is a common skin reaction to an irritant or allergen. It can cause red, itchy, and sometimes stinging spots. Common triggers include certain soaps, detergents, or even plants.

    • Treatment: Avoiding the irritant or allergen is key. Over-the-counter hydrocortisone cream can help reduce itching and inflammation.
  • Insect Bites: Small red dots that sting and itch could be due to insect bites, such as those from mosquitoes or fleas.

    • Treatment: Applying an anti-itch cream or taking an antihistamine can help alleviate symptoms.
  • Hives (Urticaria): Hives are red, itchy welts that can appear suddenly. They can be triggered by stress, certain foods, medications, or other allergens.

    • Treatment: Antihistamines are commonly used to treat hives. Avoiding known triggers is also important.
  • Hand-Foot-and-Mouth Disease: This is a viral infection that can cause red spots or sores on the hands, feet, and mouth. It is more common in children but can affect adults.

    • Treatment: This condition usually resolves on its own. Over-the-counter pain relievers and topical ointments can help manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Avoid Irritants: If you suspect contact dermatitis, try to identify and avoid any potential irritants or allergens.
  2. Use Over-the-Counter Treatments: Hydrocortisone cream or antihistamines can help reduce itching and inflammation.
  3. Keep the Area Clean: Gently wash the affected areas with mild soap and water.
  4. Avoid Scratching: Scratching can worsen the irritation and potentially lead to infection.
  5. Stay Hydrated: Drinking plenty of water can help your skin stay healthy.
  6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If the red spots spread, become more painful, or do not improve with over-the-counter treatments.
  • Signs of Infection: Such as increased redness, swelling, warmth, or pus.
  • Systemic Symptoms: Such as fever, chills, or feeling generally unwell.
  • Difficulty Breathing: If you experience any difficulty breathing or swelling of the face or throat, seek emergency medical care immediately.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are common causes of red, itchy spots on the skin?

Common causes of red, itchy spots on the skin include contact dermatitis, insect bites, hives, and viral infections like hand-foot-and-mouth disease. Identifying the cause often involves considering recent exposures to allergens, irritants, or insects.


How can I differentiate between contact dermatitis and insect bites?

Contact dermatitis often occurs after exposure to an irritant or allergen and may be accompanied by a rash that appears in the area of contact. Insect bites typically present as isolated, raised, red spots that may sting or itch. The presence of a bite mark or a pattern of bites can also indicate insect bites.


What are the typical symptoms of hand-foot-and-mouth disease in adults?

In adults, hand-foot-and-mouth disease can cause red spots or sores on the hands, feet, and sometimes in the mouth. Other symptoms may include fever, sore throat, and feeling unwell. The condition is usually mild and resolves on its own.


When should I seek medical attention for skin rashes?

You should seek medical attention for skin rashes if the symptoms worsen, spread, or do not improve with over-the-counter treatments. Additionally, if you experience signs of infection, such as increased redness, swelling, warmth, or pus, or systemic symptoms like fever or difficulty breathing, you should consult a healthcare provider.


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