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red bumps on mid section,active when stressed.

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General & Family Physician
Practicing since : 2010
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Hello, I have very small barely visible, barely red bumps on my mid section that at times feel like little pin pricks. They seem most active when I'm stressed (very often) or exposed to say a jacuzzi or hot water. They have been around for several months, are tolerable but annoying and are nowhere else on my body. If I don't point them out to someone, I could go without a shirt and they wouldn't notice. I'm 51 years old and in otherwise excellent health.
Sun, 20 May 2012 in Skin Rash
Answered by Dr. Tulasi Raman.P 44 minutes later

Thanks for your query.

It could be a case of Urticaria, probably related to cholinergic stimulation. Sometimes called cholinergic urticaria.

This perfectly explains the reason behind you getting those pin-point red lesions. Because stress, exposed to say a jacuzzi or hot water causes an increased in cholinergic stimulation or vasodilation thereby making those spots visible.

1. Avoid the causative stimulus like hot showers (use XXXXXXX warm water).
2. Cold compresses will reduce those spots almost instantaneously.
3. Apply a bland skin emollient or one containing menthol and phenol.
4. Antihistamine or systemic corticosteroid may help.
5. Reduce stress (tranquilizer maybe required).

I hope my answer has been adequate and informative. If you have any follow up queries I will be available to answer them.
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