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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Small Brown Spots On The Hands?

I notice that brown tiny spots which resemble sun spots appear on the back of my hands overnight every so often. I have been noticing they appear frequently after a very stressful day or situation. They appear overnight, but it takes about a month or 2 for the spots to disappear completely. I m a healthy 45 year old Hispanic woman, don t smoke or drink, healthy diet and active. I do drink one cup of Cuban coffee daily with milk, I m not taking any medications for anything. No drugs. Very healthy, thank God. No known allergies. This is not caused by purpura. No broken capillaries. Very smooth skin except for the sudden brown spots. They don t itch or do anything. They just show up suddenly and slowly disappear. Would like to know the cause or probable diagnosis.
Mon, 13 Jan 2020
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General Surgeon 's  Response
Hello,

* The sudden appearance of brown spots on hands following stress may be related to hormone-induced sensitivity of certain melanin-producing dermis cells.

In my clinic, after basic lab work up to rule out common causes, a skin biopsy may be a need of time if required.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Causes Small Brown Spots On The Hands?

Hello, * The sudden appearance of brown spots on hands following stress may be related to hormone-induced sensitivity of certain melanin-producing dermis cells. In my clinic, after basic lab work up to rule out common causes, a skin biopsy may be a need of time if required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon