In some cases, red spots may signal an underlying issue like an allergic reaction orskin cancer.

Red Spots on Different Skin Tones

Spots may not look the same on different skin tones.

On darker skin, the rash may appear as a white circle with darker skin surrounding it.

Miliaria or Heat Rash

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This photo contains content that some people may find graphic or disturbing.

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Treating Heat Rash

Heat rash usually gets better on its own in a few days.

Miliaria or Heat Rash

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They will prescribe oral or topicalantibioticsto relieve pain and clear up the infection.

While heat rash is sparked by high temperatures and sweat, a sun rash is more likegetting a sunburn.

The bumps can be raised or flat.

Cherry Angioma on skin of color

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The growths might be mistaken for a tumor, but they are not cancer.

Reproduced with permission from DermNet and Raimo Suhonendermnetnz.org2023.

Obencem/iStock/Getty Images Plus

Treating Cherry Angiomas

Cherry angiomas are diagnosed by having a provider look at them.

cherry angioma

Obencem/iStock/Getty Images Plus

Usually, they do not require treatment.

Your provider can explain the options forremoving the growths, like lasers or liquid nitrogen.

Usually, these procedures do not hurt.

Allergic contact dermatitis on the skin

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Contact Dermatitis

Red or discolored spots on the skin can also be fromcontact dermatitis, a common skin condition.

Contact dermatitis usually shows up as an itchy red or discolored rash with bumps.

It can also cause swollen, dry, flaky skin on any part of the body.

Contact Dermatitis on the hand

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Reproduced with permission from DermNet NZ and Waikato District Health Boardwww.dermnetnz.org2022.

Reproduced with permission from DermNetdermnetnz.org2023.

Ringworm is a common fungal skin infection that causes red,blotchy, circular rash with raised edges.

Ringworm rash on the side of a head

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Reproduced with permission from DermNet NZwww.dermnetnz.org2022.

Reproduced with permission from DermNet NZ and Raimo Suhonenwww.dermnetnz.org2022

Ringworm is highly contagious.

It’s very easy to spread it through skin-to-skin contact or by touching contaminated objects or surfaces.

Ringworm marking on the skin

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Pets can also transmit the fungus that causes ringworm.

Treating Ringworm

Most cases of ringworm can be treated with over-the-counter (OTC) or prescriptionantifungal cream.

If it’s not treated properly,ringwormcan spread and may require anoral antifungal drugto clear up.

Bedbug bites in a zigzag line on a woman’s back

Joel Carillet / Getty Images

Bug Bites

Joel Carillet / Getty Images

Bug bites often cause red spots on the skin.

Scratching can delay healing and increase the risk of infection, so it’s important to resist the urge.

For red, itchy bites, over-the-counter treatments can help.

Atopic Dermatitis

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Tick bitesrequire extra attention.

Watch for any rash or flu-like symptoms, as these can indicateLyme disease.

Lice bitesmay indicate you still have lice on your scalp.

A person with eczema (atopic dermatitis) on their legs

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Atopic Dermatitis (Eczema)

Red or discolored spots on the skin can be from chronic skin conditions.

Eczema can also be found on thefeet, toes, and fingers.

Some people with eczema notice redness anditchiness after they take a shower.

Urticaria or Hives rash on thigh

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Reproduced with permission from DermNetdermnetnz.org2023

Reproduced with permission from DermNet New Zealand and Dr. Richard Ashtonwww.dermnetnz.org2023.

Atopic dermatitis is usually seen in children under the age of 5.

It can usually be diagnosed by a provider through a physical exam.

Urticaria or Hives on the skin

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One example is adrug rash, which pops up if your body has anallergic reaction to a medication.

Drug rashes can appear ashives, rashes, orblistersthat may cover the whole body or just one part.

Reproduced with permission from DermNet and Te Whatu Oradermnetnz.org2023.

Pityriasis Rosea on skin of color

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For mild reactions, your provider may prescribe treatments such assteroidsorantihistaminesto help reduce swelling and pain.

Severe delayed reactions may require immediate medical attention or hospitalization.

Allergic reactions to medication can be serious and sometimes life-threatening.

Pityriasis Rosea

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If arashdevelops in the hours, days, or weeks after a new medication, contact your provider immediately.

Spots may appear gray, dark brown, or even black on people with darker skin.

It is a common rash that usually affects adolescents, teens, and young adults.

Purpura Non-Blanching Rash

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It isnot a serious condition(benign).

The spots can be scaly and itchy.

It often shows up after an infection.

Person with Swimmer’s Itch rash on the upper arm and back

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Sometimes, a person also has aheadache, sore throat, and fever.

Treating Pityriasis Rosea

Sometimes,pityriasis roseawill disappear on its own in six to eight weeks.

However, your healthcare provider may recommend treatments, such as:

9.

Plaque psoriasis on the knee

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Purpura happens when small blood vessels burst and blood pools under the skin.

For example, when they are widespread it can be a sign of ablood clotting disorder.

Steroids are sometimes prescribed for purpura.

Guttate psoriasis on a back

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Intravenous (IV) medications might be needed if a person with purpura has alow platelet count.

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The rash typically develops within a day of exposure to the contaminated water.

Papular Lichen Planus

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A psoriasis rash is itchy and red with silveryplaques, most often on the elbows, and knees.

Theplaquesform when the immune system overproduces skin cells.

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Lichen Planus

Lichen Planus.TimoninaIryna / Getty Images

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Thetreatment for psoriasisdepends on how severe the lesions are but can include:

12.

Lichen Planus

Red or discolored spots on the skin can also be because of other autoimmune diseases.

Petechiae Meningococcus

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It typically appears as a flat, itchy, purple rash.

Lichen planus is more common in women and people between the ages of 30 and 60.

TimoninaIryna / Getty Images

Treating Lichen Planus

Lichen planusis not contagious.

Petechiae Rash on white skin

Reproduced with permission from © DermNet dermnetnz.org 2023.

To manage symptoms, your healthcare provider may recommend the following:

13.

Petechiae

Petechiaeis a condition in which small red or discolored rash-like dots appear on the skin.

They occur when tiny blood vessels beneath the skin burst.

Close up of comedonal acne on a face

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The dots tend to be smaller and more diffuse than cherry angiomas.

The condition may not be as visible on darker skin.

Petechiae red or discolored marks are not raised and do not itch.

Acne vulgaris

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They can spread to different parts of the body and form larger patches.

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Treating Petechiae

Treatment of petechiae depends on the underlying cause.

A person’s face with rosacea

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The spots will go away on their own.

The pimples form whenpores become blockedby oil, dead skin cells, andbacteria.

Treating Pimples

Mild acne can often be treated at home withover-the-counter (OTC) acne products.

Rosacea

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A more severe form of acne, calledcystic acne, may require treatment by a dermatologist.

It also causes a feeling of burning or stinging when applying water or skincare products to the affected areas.

The causes of rosacea are not well understood, but it does run in families.

Squamous cell carcimona

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Triggers may include:

Reproduced with permission from DermNet New Zealand and Dr. Mashihul Hossainwww.dermnetnz.org2023.

Treating Rosacea

Rosacea can’t be cured, but avoiding triggers can help reduce flare-ups.

When your skin does become irritated, see a healthcare provider for treatment that can reduce symptoms.

Morphoeic Basal Cell Carcinoma

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These include prescriptions for topical products or oral antibiotics that you may need to use for up to weeks.

For example:

Reproduced with permission from DermNet and Te Whatu Oradermnetnz.org2023.

Basal cell carcinoma has several effective treatments includingMohssurgery.

Chickenpox Rash

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Melanoma may require surgical removal of the tumor.

Radiation, chemotherapy, and immunotherapy are other options.

Treating Chicken Pox

Often, children do not need any treatment.

Chicken Pox or Varicella on chest and upper arms

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The virus will run its course.

However, torelieve the symptomsyou can try calamine lotion and cool baths with baking soda or colloidal oatmeal.

Adults and people with underlying health issues may be at risk for severe cases of chicken pox.

Human skin covered with measles rash along the neck and jawline

Natalya Maisheva / Getty Images

Antiviral medications may relieve symptoms and speed up healing.

These spots are typically flat and red, often merging into larger blotchy patches as the rash progresses.

The rash typically resolves within four to seven days.

Child with blistering impetigo lesions around the mouth

Zay Nyi Nyi / Getty Images

It is managed like other viral infections with rest, fluids, and medications to reduce fever or discomfort.

If you or a child may have measles, contact a healthcare provider immediately.

If youve beenvaccinated, your provider may recommend isolation and symptom management to prevent spreading the virus to others.

Impetigo is marked by red spots or sores on the skin.

Treating Impetigo

Antibiotics are the main treatment for impetigo.

With the right treatment, impetigo usually clears up in about a week, though it may leave scars.

Summary

Red or discolored spots on the skin can have many causes.

Some are not serious and will get better on their own without treatment.

Other underlying causes are serious and may need to be treated.

Conditions like heat rash, cherry angiomas, lichen planus, and pityriasis rosea often do not need treatment.

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