All rights reserved. American Family Physician. We may earn commissions if you purchase something via one of our links. This strains the small blood vessels or capillaries in your face. You can use the study as a second opinion to make health care decisions. This happens due to a traumatic injury, such as a car accident or a fall. More than just a bruise: Recognizing child physical abuse. Seifer, C. M., et al. They may recommend home remedies if it's nothing serious. Prevalence and distribution of petechiae in well babies. Petechiae in itself is not dangerous. That means if you press down on the spots they dont fade away or turn white. Accessed March 10, 2015. We do not endorse non-Cleveland Clinic products or services. Other symptoms include a rash, red lines on the skin, flushing of the face, red tongue, fever, and sore throat. Some of the conditions that may result in the appearance of petechiae. In: Hematology: Basic Principles and Practice. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Medically Reviewed by Dr. Melody Huang, O.D. Accessed March 11, 2015. You may opt-out of email communications at any time by clicking on Check the spots often to see if they change. Seizures can cause involuntary convulsions and damage small blood vessels. 17 Best Ways to Relax, Soothe Stress & Release Anxiety. It is created by eHealthMe based on reports of 97 people who have Stress and anxiety from the Food and Drug Administration (FDA), and is updated regularly. Stay informed and get prescription saving tips and more from GoodRx Health. Evaluating the child with purpura. This blood may show up just beneath the surface of the skin. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Tiny, red, pinpoint dots develop that may cluster and have the appearance of a rash. (2017). Bruising happens when blood vessels under the skin break and spread into surrounding tissue. These spots may be petechiae if they are small and dont change color when you press on them. Endocarditis: Symptoms. 2002-2023 LoveToKnow Media. Purpura spots, also called blood spots or skin hemorrhages, are. The name comes from the Spanish word virgo, which means "virgin." This often occurs in newborns, but its sometimes associated with malnutrition. Petechiae occur when small blood vessels break and leak red blood cells into the surrounding tissue. Petechiae is found among people with Stress and anxiety, especially for people who are female, 60+ old. Mono is a viral infection thats transmitted through saliva and other bodily fluids. This condition is more likely to arise when vomiting is intense. Seek medical attention if you have pinpoint red dots on the skin and: Petechiae are tiny spots of bleeding under the skin. If you have petechiae, you should contact your doctor right away or seek immediate medical care if: Petechiae may be a symptom of a serious medical condition. Purpura are bigger, often elevated lesions caused by skin bleeding (Figures 181-2 and 181-3). Also, wear long-sleeved shirts and pants, and make sure to check your body for ticks afterward. It is difficult to determine conclusively if stress causes petechiae. While they are generally red in color, they can also be: Whether it appears as a few small spots or a larger cluster of spots, petechiae most commonly appear on ankles or feet. These abnormalities are grouped based on the size of the blood vessel affected. Pazirandeh S, et al. Sathiasekar AC, et al. Spontaneous hemorrhage into the gastrointestinal tract can also cause petechiae. Talk to your doctor about the symptom so you can determine the underlying cause. Make sure to contact your provider if you notice sudden skin changes. Mayo Clinic Staff. Petechia. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Sites of trauma can sometimes cause petechiae. Without getting enough Vitamin C, blood vessels can become weak and break easily, leading to petechiae. For example, if you have petechiae because of improper nutrition or a medication reaction, correcting the diet and stopping the medication will treat them. Mayo Clinic Staff. But the strain of dealing with her family's anger over her failing marriage showed in her haggard complexion and baggy eyes. Some common causes of petechiae include: Vasculitis (inflammation of blood vessels), Trauma (like vomiting, straining, or accidents). A deficiency in Vitamin C can lead to petechiae, which are small red or purple spots and even bleeding under the skin that occur when capillaries bleed. Confusion, dizziness or loss of consciousness (. Mayo Clinic, Rochester, Minn. March 12, 2015. Red dots around the eyes usually arent a symptom of anything serious. But in some cases they can be a sign of a serious, life-threatening medical condition. Strep throat: Symptoms. Leukemia is a cancer of your bone marrow. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Children often have immune thrombocytopenic purpura. Petechiae are pinpoint-sized spots of bleeding under the skin or mucous membranes. Mayo Clinic Staff. However, if you're experiencing other symptoms, like fever, breathlessness, or weakness, consult your doctor immediately. i do have several petechiae dots over my body, but not in a rash. They can also indicate other health concerns if a person is sick. Many of the blood disorders that cause petechiae are an issue with your platelets. Factor X deficiency is a condition where there isn't enough of the protein factor X in the blood, leading to uncontrolled bleeding. Interestingly enough, both seizures and some of the medications that treat seizures cause petechiae. Debbie loves to help people understand their own bodies better so that they can take better care of themselves! Whether or not stress causes petechiae, learning to reduce your stress levels is important to your overall health. Petechiae are not usually painful or itchy, but they may be accompanied by other symptoms including such as fever, fatigue, shortness of breath, and general ill feeling. Examples include: Causes shown here are commonly associated with this symptom. We explain why and include pictures to help you identify the symptoms. Rarely, patients with severe acute infection, such as from streptococcal bacteria, can develop purpura. Petechiae (a small red or purple spot caused by bleeding into the skin) is found to be associated with 2,251 drugs and 1,777 conditions by eHealthMe. Blood disorders that can cause petechiae include: Vasculitis, or blood vessel inflammation, can cause petechiae. Though petechiae look like a rash, theyre actually caused by bleeding under the skin. Petechiae and purpura are caused by blood vessels breaking under the skin. Last reviewed by a Cleveland Clinic medical professional on 06/29/2021. Petechiae are tiny, flat, typically round spots on the skin caused by bleeding. Patients who have had a recent episode of acute illness or injury, such as viral infection or trauma, may also have purpura. Petechiae are red, nonblanching macular lesions produced by intradermal capillary hemorrhage that are tiny (1-3 mm). Infections and reactions to medications are two common causes of petechiae. Other symptoms include swollen tonsils, swollen glands, fever, headache, nausea, vomiting, and body aches. However, if they're accompanied by other symptoms or persist for more than a few days, it's important to seek medical attention. Petechiae themselves are not dangerous. Petechiae are tiny red spots on the skin. Chemotherapy. Coughing, vomiting, and lifting heavy objects for long periods of time may cause this symptom. Petechiae appear when capillaries bleed, leaking blood into the skin. Furadantin. Other symptoms include a high fever, fast heart rate, and trouble breathing. http://www.uptodate.com. American College of Rheumatology. Petechiae and purpura are caused by blood vessels breaking under the skin. Dr. Pamela Pappas answered Psychiatry 44 years experience Review your meds: Stress does not sound like a likely cause for petechiae on your trunk. If you buy through links on this page, we may earn a small commission Heres our process. information and will only use or disclose that information as set forth in our notice of Mononucleosis: Symptoms and causes. Normal blood work. The primary pathophysiological causes of petechiae are thrombocytopenia, platelet dysfunction, disorders of coagulation, and loss of vascular integrity. Systemic lupus erythematosus (SLE) is an example of an autoimmune disease in which your bodys immune system can attack parts of your body. The main difference between petechiae and purpura is their size. (2015). Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. These pinpoint spots can be a sign of many different conditions some minor, others serious. (2018). This is important because sometimes a serious medical condition causes petechiae. You should always contact your provider if you have petechiae. But did you know that stress can actually cause physical symptoms like petechiae? If you need treatment, its usually to resolve any underlying illness that led to the rash. Some other symptoms include fever, chills, headaches, muscle aches, and confusion. (2017). Kelly Brown is a content writer for Vision Center. Petechiae related to thrombocytopenia (low platelet count) that would be indicative of a blood disorder would have shown up in your blood work. You may get scurvy if you dont get enough vitamin C. Other symptoms include fatigue, weaknesses, joint pain, and bleeding gums. One small study reports that close to 30% of healthy infants may develop one or more petechiae. 2023 eHealthMe.com. Learn when and how the test is done. Petechiae appear when capillaries bleed, leaking blood into the skin. If you notice any unusual bleeding or bruising, it's important to see a doctor right away to rule out these possibilities. Multiple areas of bleeding may indicate multiple problems that require different treatments. 8th ed. The tiny hemorrhages are usually flat to the touch and remain beneath the skin. Petechiae appear when small blood vessels break and superficial bleeding occurs under the skin. You can unsubscribe at any time. In: Signs and Symptoms in Family Medicine. Petechiae alone arent life-threatening. Vitamin K deficiencies may occur in infants because they arent born with enough of the vitamin and may not get enough until they begin eating solid foods at 4 to 6 months old. Accessed March 10, 2015. This infection of the inner lining of the heart includes symptoms like fever, chills, fatigue, achy joints and muscles, shortness of breath, cough, and pale skin. Her goal is to share important information so people can make the best decisions about their vision health. (2014). (2017). Some of the underlying causes of petechiae are serious and need to be treated. Petechiae are usually flat to the touch and do not lose color when pressed. Newer Post . Petechiae are formed when tiny blood vessels called capillaries break open. Its important to be able to recognize when your stress levels are getting too high and to know how to effectively deal with the stress in your life. (2017). They can help figure out the source of your skin changes. Vitamin C and vitamin K are two of the most common vitamin deficiencies associated with petechiae. Didn't find the answer you were looking for? One way to tell the difference is by pressing on the spots. Treatment will depend on what is causing the petechiae. Our website services, content, and products are for informational purposes only. If you think you may have petechiae, it is important to consult with a medical professional to get an accurate diagnosis, medical help, and treatment plan. However, these symptoms of Petechiae go away with time. She has worked as a nurse for many years, and now she enjoys working as a consultant for hospitals on various aspects of health care. Cureus. We avoid using tertiary references. Ehlers-Danlos Syndrome (a connective tissue disorder) Bleeding disorders or low platelet count. Friction against the skin from carrying a heavy bag/backpack or a tight strap from clothing can lead to petechiae. Trouble breathing. They are caused by broken blood vessels that cause minor bleeding under the skin. Melody Huang is an optometrist and freelance health writer. Advertising revenue supports our not-for-profit mission. Try to stay away from anyone who appears to be sick. Mayo Clinic Staff. McGrath, A., et al. The most common cause of petechiae is through physical trauma such as a hard bout of coughing, holding breath, vomiting, or crying, which can result in facial petechiae, especially around the eyes. A sunburn can also cause petechiae. We avoid using tertiary references. You should also call if you have serious symptoms like these: Petechiae themselves dont cause complications, and they wont leave scars. . Purpuric rash which is bleeding under the skin in a larger, flat area, Very high levels of blood platelets, known as thrombocythemia, Infections affecting the blood's ability to clot, Malignancies of the bone marrow that cause very low blood platelet numbers, Sepsis or other infections of the bloodstream, Henoch-Schonlein Purpura - also known as HSP, Idiopathic Thrombocytopenic Purpura - also known as ITP, Viral infections such as some types of influenza and enteroviruses, Drugs and medications that are anticoagulants. Some other symptoms include fever, a stiff neck, vomiting, and headaches. Thats because having petechiae isnt an illness itself its usually just a symptom of another condition. Purpuric and petechial rashes in adults and children: Initial assessment. Learn how this unpleasant emotion impacts your mind and body and get tips to manage when you feel repulsed. Meningococcemia Endocarditis Lupus Nephritis Pneumonia Syphilis Tuberculosis. ask you about your medical history, including: conduct any laboratory tests needed to diagnose the underlying condition. Cytomegalovirus: Symptoms and causes. I'm worried now because I have a dermatology appointment on Thursday to figure this out, and I got my last CBC report from end of February today. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Learn. Here's Why It Matters. Petechiae on the skin can be alarming. DOI: What is vitamin K deficiency bleeding? There is a problem with information submitted for this request . Fayyaz, A., et al. 10 Simple Ways to Clear Your Mind of Unwanted Thoughts. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. 'Yes, certainly. Many different things can cause petechiae, and some are serious. In some cases, doctors prescribe the following to treat petechiae: These medicines treat infections and reduce inflammation. Petechiae can be found anywhere in the body where there is tissue blood supply, such as the brain, gastrointestinal tract, liver, lungs, and skin. This bacterial infection can develop in people after theyve had strep throat. Petechiae are often a sign of a connective tissue disorder, such as von Willebrand disease or platelet function disorders. Lack of vitamin K may cause this symptom to appear because it affects bleeding. Journal of Pharmacy & Bioallied Sciences. Petechiae: Symptom Overview covers definition, possible causes of this skin symptom. However, when it is accompanied by other symptoms such as fever, vomiting, headache, or stiff neck, it can indicate a serious underlying condition. (2016). The use of certain medications or chemicals can also cause this condition. Clean countertops and other common surfaces. You can learn more about how we ensure our content is accurate and current by reading our. Dont share items that may have touched someone elses mouth or nose (like a cup or toothbrush). Mayo Clinic Staff. Physical abuse in children: Epidemiology and clinical manifestations. I'm worried (as usual), and I have made a doctors appointment about it. There are many different conditions that can cause petechiae to form, but they all involve some type of viral or bacterial infection or inflammation. Petechiae usually resolve on their own after about two to three days. This is often the case with people who have acute leukemia. Elevated blood pressure, which is a symptom of stress, also causes red spots. Thomas, A. E., et al. If the petechiae are the result of a medical condition, theyll go away when you treat the underlying medical issue. Can Petechiae be a Sign of Something Serious? If you have one of these rashes, you may have anemia. There are several possible treatments for petechiae, including. Learn what causes petechiae, what they look like, and how to treat and prevent them. GoodRx works to make its website accessible to all, including those with disabilities. There is a wide range of causes of petechiae. Petechiae here and there really aren't too much of a concern. Experiencing pressure to a certain area of the body from trauma or a tourniquet may cause the symptom. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. When a blood vessel bursts, a small amount of blood escapes from the vessel into the body. Petechiae are small, pinpoint-sized red dots on the surface of the skin. According to Oski's Pediatrics: Principles & Practice by Julia A. McMillan, Ralph D. Feigin, Catherine DeAngelis and M. Douglas Jones, this type of petechiae rash is common in cases of child abuse. 2023 Healthline Media LLC. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. Petechiae are small, pinpoint-sized red dots on the surface of the skin. Petechiae may look like a rash, but theyre not. Your doctor will probably recommend that you avoid the drug in the future. Accessed March 11, 2015. If you believe a vitamin deficiency could be the cause of red spots, seek medical advice and discuss possible supplements or treatment options with your doctor. Infectious mononucleosis with eyelid edema and palatal petechiae. It's important to determine the cause, since some underlying problems can be potentially serious. Learn how to avoid, recognize, and treat strep throat. Before recommending a treatment, your doctor will identify whats causing your petechiae and other symptoms. Mayo Clinic Staff. Advertising on our site helps support our mission. Petechiae may be a sign of a serious underlying health condition, such as blood disorders acute leukemia, immune thrombocytopenic purpura ITP (low platelets count) or infection. Nachman RL, et al. Petechiae are very small (pinpoint) red dots on the skin that form a skin rash due to an infection, allergic reaction, or other cause. Viral infections, such as mononucleosis, can cause petechiae. Stress not related: True petechiae are caused by injuries to small blood vessels (capillaries). Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Causes And Treatment, Improve Your Self Confidence In 15 Minutes, How Neediness And Emotional Insecurity Destroy Relationships, Reassuring Reasons Why Hypnosis Is Your Friend, Learn Hypnosis in 5 Days - Free Video Course, Can Stress Cause Tremors? They are not indicative of eye disease. Platelets, petechiae, and preservation of the vascular wall. Vomiting-induced petechiae tend to clear up on their own. (2015). Mayo Clinic Staff. It is created by eHealthMe based on reports of 97 people who have Stress and anxiety from the Food and Drug Administration (FDA), and is updated regularly. Tiny petechiae of the face, neck and chest can be caused by prolonged straining during activities such as coughing, vomiting, giving birth and weightlifting. Factor X deficiency is a condition where there isn't enough of the protein factor X in the blood, leading to uncontrolled bleeding. This can cause the capillaries under the skin to bleed. The purple, red or brown dots are not raised or itchy, and theyre not a rash. hi you had answered a question of mine a couple days ago regarding petechiae , if there where only spots randomly placed around the body would that be a concern? Drug-induced thrombocytopenic purpura. Atropen. While there is a connection between stress and common rashes such as hives, there does not appear to be that same link to stress and petechiae. The BMJ. Personal Hygiene: You should also take care to practice good hygiene to avoid getting infections that could cause petechiae. Often the tiny spots appear on the face after a significant bout of coughing, vomiting or crying and disappear after a short time. . (2002). Scurvy is caused by too little vitamin C in your diet. It occurs when a child is forcefully hit with an open hand. I have them scattered on my arms and I'm worried.. People tell me I'm overreacting They're small and hardly noticeable but there are around 20 on each arm (only upper arm). Thats why its important to let your provider know if you notice these skin changes. Please seek medical advice before starting, changing or terminating any medical treatment. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Discover how to learn to love yourselfit can completely change your life. You may experience changes to your blood pressure as well as your breathing. Drug-induced thrombocytopenic purpura. You may notice red, brown, or purple spots on your skin and wonder the cause. You can't do anything to treat petechiae, as it's a symptom of something else. I too have health anxiety and have been to 5 doctors regarding my petechiae and they all are not concerned since my blood work was normal. Everything was within normal limits except the MPV, which was a little high at 10.3. The information provided on VisionCenter.org should not be used in place of actual information provided by a doctor or a specialist.