Learn about the causes and treatment of breast petechiae, including possible underlying medical conditions and when to see a doctor.

Find out about the causes and treatment of breasts in the breasts, including possible underlying medical conditions and when to go to the doctor.

Breast petechiae refer to the appearance of small red or purple spots the size of a pin on the surface of the skin in this specific area. These small spots are due to subcutaneous hemorrhage and may be a sign of an underlying disease. Although petechiae are usually associated with the breasts, they can also appear on other parts of the body, such as the arms, legs, and face.

The presence of petechiae in the breasts can be alarming for many people, prompting them to quickly seek medical attention. It is essential to know the possible causes and associated symptoms to determine the appropriate treatment options. Several factors can contribute to the appearance of petechiae, including

  1. Injuries or trauma: Any direct injury or trauma to the breasts, such as excessive squeezing or pinching, can cause rupture of blood vessels and the formation of petechiae.
  2. Infectious diseases: Certain viral or bacterial infections, such as meningitis, sepsis, or even a simple upper respiratory tract infection, can cause breast petechiae.
  3. Diseases: Underlying medical conditions such as vasculitis, leukemia, or platelet disorders can also cause breast petechiae to appear.

Important: If you notice breast petechiae or experience any accompanying symptoms, it is important to see a healthcare professional for proper evaluation and diagnosis.

When diagnosing the cause of breast petechiae, the doctor usually begins by performing a complete physical examination and reviewing the patient’s medical history. You may also order additional tests, such as blood tests, to identify any underlying conditions that contribute to petechiae formation.

Petechiae on Breasts: Causes, Symptoms, and Treatment

In some cases, petechiae in the breasts can be the result of trauma or injury to the breast tissue. This can occur due to vigorous scratching or rough handling of the breasts. Pressure during breastfeeding or wearing ill-fitting bras can also contribute to the appearance of petechiae. Additionally, certain medical conditions, such as thrombocytopenia (low platelet count), vasculitis (inflammation of blood vessels), or leukemia, can cause petechiae to form in the breasts.

  • The most common causes of breast petechiae include:
  1. Physical trauma or injury to breast tissue
  2. Thrombocytopenia (low platelet count)
  3. Vasculitis (inflammation of blood vessels)
  4. Leukemia

The symptoms of breast petechiae can vary depending on the underlying cause. However, the most common signs are the presence of small red or purple spots the size of a pinpoint on the skin of the breasts. These spots may be flat or slightly raised and may appear in groups or as isolated lesions. In some cases, petechiae may also be accompanied by pain, itching, or tenderness in the affected area.

It is important to see a doctor if you notice petechiae in your breasts, especially if they are accompanied by other worrying symptoms or persist for a long time. A healthcare professional can evaluate your condition, perform necessary tests, and recommend appropriate treatment options.

Treatment of breast petechiae depends on the underlying cause. If petechiae are the result of physical trauma or injury, they may disappear on their own with time and proper wound care. However, if petechiae are a symptom of an underlying disease, such as thrombocytopenia or vasculitis, treatment will focus on addressing the underlying cause. This may involve medication, lifestyle modifications, or surgical interventions.

Understanding Petechiae

The presence of breast petechiae can be concerning for people, especially if they experience other accompanying symptoms or have a history of underlying medical conditions. It is important to know the possible causes and implications of petechiae in order to seek appropriate medical attention if necessary.

  • Breast petechiae can be caused by a variety of factors, such as trauma or injury to the chest, severe scratching or rubbing of the skin, or a reaction to medications or topical creams.
  • In some cases, petechiae may be a symptom of an underlying medical condition, such as a bleeding disorder, autoimmune disease, or infection.
  • If petechiae appear suddenly and are accompanied by other concerning symptoms, such as unexplained bruising, prolonged bleeding, fever, or fatigue, it is important to see a healthcare professional for evaluation and proper diagnosis.

Note: Although breast petechiae do not always indicate a serious condition, it is crucial to undergo a complete medical examination to rule out any underlying health problems and get appropriate treatment if necessary.

Possible Causes of Petechiae on the Breasts

1. Injuries or trauma: A possible cause of petechiae in the breasts is injuries or trauma that may have occurred. These injuries can range from minor bumps or bruises to more serious blunt force trauma. When the blood vessels in the breast tissue are damaged, petechiae may appear. It is important to note any recent injuries or trauma that may have occurred to the affected area, as it can provide important information for medical professionals to reach a diagnosis.

Note: In case of injuries or trauma, it is advisable to seek medical attention to rule out any underlying complications and ensure proper healing and recovery.

2. Allergic reactions: Allergic reactions can also be a potential cause of breast petechiae. These reactions can be triggered by various factors, such as certain medications, foods, or substances that the person may have been in contact with. Allergic reactions can cause blood vessels to break and petechiae to form. It is important to avoid possible allergens and see a doctor if allergic reactions are suspected.

3. Blood disorders: Certain blood disorders can also contribute to the appearance of petechiae in the breasts. These blood disorders may include thrombocytopenia, a condition characterized by a low platelet count, or other clotting disorders. When platelet counts or clotting factors are affected, petechiae formation can occur. In these cases, it is recommended to consult a hematologist or a healthcare professional specialized in blood disorders for proper diagnosis and treatment.

Recognizing the Symptoms of Petechiae on the Breasts

1. Appearance: Petechiae appear as red or purple dots the size of a pinpoint on the skin. These spots can be flat and can vary in color, from dark red to a purplish tone. On the breasts, petechiae may be sporadically scattered or form a cluster. They are usually painless and do not itch, but sometimes they may be slightly raised.

Important: If you notice petechiae on the breasts or any other part of the body, it is essential that you consult a healthcare professional for an accurate diagnosis. Although petechiae themselves are not a cause for concern, they can sometimes be a symptom of an underlying medical condition that requires treatment.

2. Causes: Petechiae are caused by the rupture or leakage of small blood vessels called capillaries. In the case of breast petechiae, several factors can contribute to its appearance. These include:

  • Injuries or trauma to the breast, such as vigorous scratching, squeezing, or rough handling.
  • Allergic reactions or sensitivity to certain fabrics, lotions, soaps or detergents.
  • Coughing, vomiting or excessive straining, which can increase pressure in the blood vessels and cause bleeding under the skin.
  • Certain medications, such as blood thinners or chemotherapy drugs, which can affect blood clotting and increase the risk of petechiae

3. Precautions: Although it is not always possible to prevent petechiae from occurring, some precautions can help minimize the risk. These include:

  1. Avoid excessive scratching or rough handling of the breasts
  2. Wear comfortable and breathable fabrics
  3. Use hypoallergenic lotions, soaps and detergents.
  4. Follow proper techniques when coughing or vomiting to reduce stress on blood vessels
  5. Inform healthcare professionals about any medications you are taking

Seek immediate medical attention if
Symptom Description
Bleeding If petechial spots are accompanied by bleeding or suppuration
Pain or itching If the petechiae become painful or intensely itchy.
Extension or worsening If the petechiae spread rapidly or their appearance worsens over time.

Seeking Medical Attention for Petechiae on the Breasts

If you discover petechiae in your breasts, it is essential that you do not panic and take proactive steps to undergo a timely medical evaluation. Below are some key reasons why you should seek medical attention:

  1. Possible underlying health problems: Petechiae may indicate an underlying health problem, such as a blood disorder or infection. Seeking medical care can help identify possible conditions and guide appropriate treatment.
  2. Assessing severity: Although petechiae are usually harmless, they can sometimes be a symptom of a more serious condition. A healthcare professional will be able to assess the severity of the petechiae and determine the necessary course of action.
  3. Individualized advice and guidance: Consulting with a medical expert can provide personalized advice based on your specific situation. They can answer any questions or concerns you may have and guide you through the next steps in managing breast petechiae.

Remember: Any unexplained appearance of petechiae in the breasts should be evaluated by a healthcare professional. Although it may be benign, it is always best to err on the side of caution and ensure proper medical evaluation.

Treatment Options for Petechiae on the Breasts

1. Address the underlying cause: The first step in treating breast petechiae is to address and treat the underlying cause. This may involve determining whether the cause was trauma or injury and providing appropriate wound care. If an infection is suspected, antibiotics or antiviral medications may be prescribed. Additionally, underlying medical conditions such as thrombocytopenia (low platelet count), vasculitis, or bleeding disorders may require specialized treatment.

Medical treatment options for petechiae on the breasts:

  1. Topical corticosteroids: In some cases, a dermatologist may prescribe topical corticosteroids to reduce inflammation and improve the appearance of breast petechiae.
  2. Topical skin treatments: Certain creams or ointments may be recommended to help speed up the healing process and promote skin regeneration in the affected area.
  3. Phototherapy: In cases where petechiae are caused by certain skin conditions such as vasculitis or allergic reactions, phototherapy with ultraviolet (UV) light can be used to control symptoms and improve the appearance of the skin.
  • Applying cold compresses: Placing cold, wet cloths or ice packs on the affected area can help reduce inflammation and relieve discomfort.
  • Avoid excessive scratching or rubbing: It is important to avoid further irritating the skin and causing additional petechiae by scratching or rubbing the affected area.
  • Wear loose-fitting clothing: Choosing breathable, loose-fitting clothing can help avoid friction and irritation from petechiae.
  • Maintain good skin hygiene: Keeping the affected area clean and dry can help prevent infections and promote healing.

It is essential to consult a healthcare professional to obtain an accurate diagnosis and a personalized treatment plan based on the underlying cause of petechiae and the severity of symptoms.

Preventing and Managing Petechiae on the Breasts


  1. Avoid excessive pressure or breast trauma, since they can cause the appearance of petechiae. It is important to carry outraders that fit well, offer adequate support and do not cause discomfort or constriction.
  2. Hydrate the breasts regularly to maintain skin health and prevent dryness. Dry skin is more prone to developing petechiae and other skin conditions. Use a mild moisturizer suitable for sensitive skin.
  3. Protect the breasts from excessive sun exposure. Apply sun protection cream with at least one 30 protection factor when you spend time outdoors. This can help prevent damage to blood vessels and reduce the risk of petechiae.

Note: Sometimes, petechiah can be a sign of an underlying disease, such as an infection or a blood disorder. It is important to go to the doctor if petechiae persist, get worse or accompanied by other worrying symptoms.


  • Apply a cold compress in the affected area for about 10-15 minutes to reduce inflammation and favor healing. This can be done several times a day, as necessary.
  • Avoid scratching or overturning the petechiae, since this can further damage blood vessels and prolong the healing process. To maintain hygiene, a soft cleaning with neutral soap and soap is enough.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

Cannabis and Hemp Testing Laboratory
Add a comment