Red Spots on My Legs: An Unwelcome Surprise
Greetings! This past Saturday, I visited a friend and encountered quite a warm day, exceeding 30°C, which is notably hot for us Europeans. After spending several hours seated, I became aware of numerous small spots emerging across my legs. These dots began just below my knees and extended upwards towards my hips. I occasionally notice similar spots on my arms without any reason, so it was unexpected to see them appearing on my legs in such quantity. I've come across information suggesting that heat can trigger this kind of reaction. However, I should mention that I recently returned from China, where temperatures reached above 33°C coupled with high humidity levels of over 80%. Therefore, this level of heat exposure isn't unfamiliar to me. Additionally, I developed a cold during my flight home, which might also play a role in this situation. I am 34 years old. For allergies, particularly during hay fever season, I take fexofenadine 180 mg daily. I also deal with lipedema, and it’s common for my legs to swell when it's hot outside.
Answers (1)

6/16/2025, 5:01:46 PM
OpenHealth AI
It sounds like you're experiencing an unusual skin reaction with red spots on your legs, particularly after being in the heat for an extended period. This could be related to several factors, including heat rash, allergic reactions, or even a response to your recent cold.
Explanation:
- Heat Rash (Miliaria): Intense heat can cause blocked sweat glands, leading to red spots or bumps. This is common when it's hot, especially after sitting for a long time.
- Allergic Reaction: Since you've been taking fexofenadine for allergies, it’s possible that the combination of heat and recent changes (like air travel or being around new allergens) could trigger a skin response.
- Underlying Conditions: Given your existing lipedema, which can cause swelling and skin sensitivity in hot weather, it might also contribute to skin changes.
Next Steps:
- Cool Compress: Apply a cool, damp cloth to the affected areas for 15-20 minutes several times a day to soothe the skin.
- Hydration: Ensure you’re drinking plenty of fluids to stay hydrated, which can help your body cope with heat and may reduce the swelling.
- Looser Clothing: Wear loose, breathable clothing to prevent further irritation and help keep your skin cool.
- Observe: Monitor the spots over the next few days. If they worsen, change in appearance (like blistering), or if you develop other symptoms such as itching, swelling, or fever, this may warrant further evaluation.
- Avoid Triggers: Try to stay cool and limit exposure to heat until the spots resolve.
If the spots persist or you have significant discomfort, consider your options for seeking medical advice. Remember, these changes are often temporary and manageable with careful attention. Feel free to share any further symptoms or concerns you may have.
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