Brief Answer: It is most likely a bleed!!!!!! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these dark spots under the toes that you observed in your daughter. The symmetric nature and description of the spots is typical of a poor fitting footwear. nothing clearly fits this description and location more than this. The extend to which these shoes were undersized either relatively or absolutely clearly determines how severe the symptoms would be. It not strange that she is not experiencing severe pains probably because the stress that caused this wasn't that great. These spots would slowly grow and fall out as the toes grow. It may take several months for this to completely progress and fall off. It needs no treatment and nothing special needs to be done to address this problem. I will suggest that you take a look at the shoes she put on and also how many socks she used to understand the source of the problem and prevent future recurrences. I wish you well. I wish your daughter well. I hope you both identify the exact foot wear that caused this and take measures to prevent it in future. Feel free to ask for clarification of more information if need be. Dr. Ditah, MD.

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