I will discuss a few of these possible causes below: Skin trauma While it's important to seek a review to rule out potentially serious conditions, especially if accompanied by additional symptoms, there are also other, less serious causes of the appearance of these pin prick spots along with feeling unwell. This is especially important if along with the red spots you are experiencing a stiff neck, severe headache, light sensitivity, high fever or feeling very unwell if you have these additional symptoms you should attend your local A&E for an urgent assessment. If these spots are 'glass test positive' then it is really important to seek an urgent medical assessment as this could potentially be a sign of life-threatening condition such as sepsis or meningitis (NHS, 2021). Please note that the spots may be harder to see on dark skin and you may need to check in areas such as the palms of the hands, soles of the feet or roof of the mouth (NHS, 2021). If the spots disappear (turn white) under the pressure then this is glass test negative if the spots can still be seen through the glass then this may be seen as a glass test positive result (Meningitis Now, 2021). To perform the glass test you, or someone else, should run an empty clear glass over the rash. One way to tell whether the spots are a rash or petechiae is to see whether they disappear (turn white) under pressure, for example by using the 'glass test' petechiae will also likely not be raised and will feel flat to the skin (Mayo clinic, 2021). Whilst they may appear as a 'rash', sometimes these red pin prick spots can actually be due to bleeding under the skin when our tiny capillaries burst this is known as petechiae (Healthline, 2021). There are many potential causes of a rash that appears as red pin pricks some of which could signify a more serious condition that requires prompt medical attention I will discuss further some possible causes below: Potentially serious causes I am not sure how long you have been feeling unwell and have had this rash but, because of all these additional factors, the best thing to do will be to get in touch with your GP for an assessment and diagnosis. When we are looking at diagnosing rashes there are lots of factors to take into account, including whether the spots raised or itchy, do they disappear under pressure, have you recently had a change in any products used, food eaten or medications, as well as how you are feeling within yourself. Thank you for getting in tough with AXA Health at Hand team, I am sorry to hear that you have been feeling unwell recently.
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