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I have blood-like spots on my upper shoulders and arms. They…

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I have blood-like spots on...
I have blood-like spots on my upper shoulders and arms. They don't hurt but they have been there for months. They are really tiny but i noticed they are bunched more on my shoulder area.Should i be worried? I don't shave my arms so i don't know what it could be
Submitted: 8 years ago.Category: Medical
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6/22/2010
Doctor: Doctor Ellis, Doctor replied 8 years ago
Doctor Ellis
Doctor Ellis, Doctor
Category: Medical
Satisfied Customers: 886
Experience: Board Certified Family Medicine Doctor
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are they flat or raised?

are they getting bigger?

can you attach a picture?

do you mean blood-like because they are red?

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Customer reply replied 8 years ago
They are flat. They aren't getting bigger. Yes, i meant blood-like cause they are red.
Doctor: Doctor Ellis, Doctor replied 8 years ago

They are most likely benign (not cancerous) nevi or moles. The reason they pop up on your shoulders and arms is because this is a very highly sun exposed area.

I suggest that you use plenty of sunscreen at least spf 30.

If they start to get bigger, change color, become raised, bleed or itch then you should see a doctor for a biopsy.

I hope this was helpful! If so, please click on the green ACCEPT button.

Good Luck and Best Wishes!

Feel free to ask if you have more questions....

Feedback is appreciated!

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Customer reply replied 8 years ago
i wear long-sleeved shirts alot, because of this and they havent gone away. Simple the fact i'm worried they are open and i don't want to get an infection because of it. They really do look like blood and that's why i'm concerned.
Doctor: Doctor Ellis, Doctor replied 8 years ago

I didn't realize from your description that they were open.

Can you attach a picture please?

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Customer reply replied 8 years ago
i can't get a decent photo of them.
Doctor: Doctor Ellis, Doctor replied 8 years ago
Then I will opt out to see if a dermatologist can help you.
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Doctor: khagihara, Doctor replied 8 years ago
khagihara
khagihara, Doctor
Category: Medical
Satisfied Customers: 6,591
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They seem to be cherry hemangiomas which are the most common cutaneous vascular proliferations. They are often widespread and appear as tiny cherry red papules or macules. These benign lesions are formed by a proliferation of dilated venules. Lesions are benign and usually do not undergo spontaneous involution. Most patients report an increase in number and size of individual lesions with advancing age. On physical examination, lesions may have a variable appearance, ranging from a small red macule to a larger dome-topped or polypoid papule. The color of the lesions typically is described as bright cherry red, but the lesions may appear more violaceous at times. Medical intervention is not helpful and not indicated in the treatment of the benign vascular proliferations of cherry hemangiomas. Treatment for cherry hemangioma lesions is recommended only in situations of irritation or hemorrhage or in instances in which the lesions are deemed by the patient to be cosmetically undesirable.
Options include the following:
  • Shave excision: This procedure allows delicate removal of the lesion by blade and histologic confirmation of the diagnosis. Hemostasis following removal may be obtained by chemical means (aluminum chloride) or by performing electrocautery.
  • Curettage and electrodesiccation: These techniques permit reliable elimination of the lesion through tissue destruction. The risk of scarring usually is minimal when the technique is performed by a skilled operator.
  • Pulsed dye laser: Ablation of lesions using pulsed dye laser may be performed for cosmesis. The use of a pulsed dye laser with a green light source allows selective absorption of the laser energy by the hemoglobin contained within the red blood cells and subsequent obliteration of the vascular lumen.
  • Cryotherapy: Cryotherapy is a less well-controlled means by which lesions are eliminated through irritation, coagulation, and subsequent destruction.
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