Hope that this information helps and hope that you get better soon. Till then wash the hands with a mild soap like Cetaphil and wear appropriate gloves to protect against irritants in your home and work environment. He/ she may even do a biopsy palm by taking a small skin scraping from the effected skin to confirm the diagnosis. You need to get it examined physically from a dermatologist to confirm the diagnosis. 4) another possibility could be of Janeway lesions are which are non-tender, small erythematous lesions on the palms or soles only a few millimeters in diameter that are indicative of infective endocarditis which is a condition of the heart. 3) The third possibility is of erythema multiforme which comes from an allergic reaction especially to medicines or infection. But if they persist then please consult a physician and get other causes ruled out which include allergic reaction, autoimmune diseases, thrombocytopenia, ITP or leukemias. They are common after skin trauma and viral infections. Petechiae are pinpoint-sized red dots under the surface of the skin common after skin trauma. 2) The second possiility is of petechiael spots. These irritant can be everyday things as water, detergents, solvents, acids etc. These include: 1) Irritant contact dermatitis which occurs when chemicals or physical agents damage the surface of the skin. From the symptoms and photograph there are a few possibilities which need to be ruled out. I can understand your concern for these tiny red dots on the palms.
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