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What Causes Recurrent Small Cluster Spots On Left Palm?

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Posted on Tue, 1 Jul 2014
Question: I have a small cluster of dots that appear on my left palm below my pinky. they go away after 2 weeks and reappear weeks/months later. occasionally I will see a few on base of my left middle finger. they are below surface. do not itch. no discomfort. they appear brown, but can also look red or orangish depending on the light. attached is an extreme close up as they are only the size of a pin head.
doctor
Answered by Dr. Kalpana Pathak (8 hours later)
Brief Answer:
details below

Detailed Answer:
Hi,
Thanks for writing to us.
I have seen the image attached. The lesions are captured too closely to appreciate them. Hence, I would advise that you upload a better resolution pic taken from little bit distance.
There could be multiple causes for such spots like freckles, warts, pitted keratolysis, pompholyx, fungal infection( tinea nigra) etc.
Please upload the pic, so that I can propose a probable diagnosis and appropriate treatment.
Hoping to hear from you soon.,
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kalpana Pathak (3 hours later)
Thanks for the response. I've attached what are hopefully better representations of what the area looks like. I dont have in manor conditions that im aware of. My blood pressure is a little high, with triglycerides being very high. Over the past year I have developed 4-5 small bumps around my left eye lid. A ddoctor I saw 5 months ago said the bumps happen with age.
doctor
Answered by Dr. Kalpana Pathak (48 hours later)
Brief Answer:
details below

Detailed Answer:
Hi,
Thanks for providing better pics.
From what I can make out, these lesions could probably be of pitted keratolysis. These are small pits or crateriform lesions which are found on palms and soles. It may sometimes present as small red/brown/orange colored lesions which may later on develop scales or form a minute pit. It is a bacterial infection and commonly seen in people having excessive sweating over palms and soles.
You may treat the lesion by applying clindamycin gel or fusidic acid cream twice in a day. Please use these medicines and let me know after a week or so.

Another possibility could be warts or tinea nigra( fungal infection) but these lesions would persist and not resolve spontaneously.
Hope this helped.
TAke care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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What Causes Recurrent Small Cluster Spots On Left Palm?

Brief Answer: details below Detailed Answer: Hi, Thanks for writing to us. I have seen the image attached. The lesions are captured too closely to appreciate them. Hence, I would advise that you upload a better resolution pic taken from little bit distance. There could be multiple causes for such spots like freckles, warts, pitted keratolysis, pompholyx, fungal infection( tinea nigra) etc. Please upload the pic, so that I can propose a probable diagnosis and appropriate treatment. Hoping to hear from you soon., Take care