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Bump that looks like a mosquito bite. Itchy Skin Bumps: Causes, Treatments, and When to Seek Medical Help

What causes itchy bumps on skin that look like mosquito bites. How to identify and treat common skin conditions causing itchy bumps. When should you see a doctor for unexplained itchy skin bumps.

Common Causes of Itchy Skin Bumps

Itchy bumps on the skin that resemble mosquito bites can be caused by various conditions. Understanding these potential causes is crucial for proper diagnosis and treatment. Here are some of the most common culprits:

  • Hives (urticaria)
  • Bed bug bites
  • Contact dermatitis
  • Scabies
  • Allergic reactions
  • Infections
  • Chronic skin conditions

Each of these conditions has unique characteristics and treatment approaches. Let’s explore them in more detail.

Hives: Acute Urticaria Explained

Hives, medically known as urticaria, is a common skin condition characterized by raised, itchy welts on the skin. These welts can appear suddenly and disappear just as quickly, often within hours.

What Causes Hives?

Hives can be triggered by various factors, including:

  • Food allergies (e.g., peanuts, tree nuts, seafood)
  • Environmental allergens (e.g., pollen, latex)
  • Insect bites or stings
  • Medications (e.g., sulfa drugs, aspirin)
  • Stress
  • Temperature changes

Approximately 20% of people will experience hives at some point in their lives. The condition is usually acute, lasting less than six weeks, but can become chronic in some cases.

Identifying Hives

How can you tell if your itchy bumps are hives? Look for these characteristics:

  • Red, purple, or skin-colored raised welts
  • Itchy or burning sensation
  • Welts that turn white when pressed (blanching)
  • Rapid appearance and disappearance of bumps
  • Bumps that can appear anywhere on the body

Treating Hives

The treatment for hives depends on the severity and underlying cause. Some common approaches include:

  1. Avoiding known triggers
  2. Using over-the-counter antihistamines
  3. Applying anti-itch lotions or creams
  4. Taking prescription medications for severe cases
  5. Carrying an epinephrine auto-injector for severe allergic reactions

For mild cases, self-care measures like cool compresses and oatmeal baths can provide relief. However, if hives persist or are accompanied by difficulty breathing or swelling of the throat, seek immediate medical attention.

Bed Bug Bites: Identifying and Treating These Pesky Invaders

Bed bug bites can often be mistaken for mosquito bites or other insect bites. These small, parasitic insects feed on human blood, typically at night while you sleep.

Recognizing Bed Bug Bites

How can you distinguish bed bug bites from other insect bites? Look for these signs:

  • Small, red, itchy bumps on the skin
  • Bites often appear in a line or cluster
  • Commonly found on exposed areas of skin during sleep
  • May take up to 14 days to appear after the initial bite

In addition to the bites themselves, other indicators of a bed bug infestation include:

  • Tiny blood spots on your mattress or sheets
  • Dark or rusty spots of bed bug excrement on mattresses and walls
  • Bed bug egg shells, shed skins, or live bugs in mattress seams or crevices
  • A musty odor from the bugs’ scent glands

Treating Bed Bug Bites

While bed bug bites can be incredibly itchy and annoying, they typically don’t require medical treatment. Here are some self-care measures you can take:

  1. Wash the bites with soap and water to prevent infection
  2. Apply an anti-itch cream or calamine lotion
  3. Take an oral antihistamine to reduce itching and burning
  4. Use a cold compress to relieve swelling
  5. Avoid scratching to prevent infection

The most crucial step in treating bed bug bites is eliminating the infestation. This often requires professional pest control services and thorough cleaning of your living space.

Contact Dermatitis: When Your Skin Reacts to External Irritants

Contact dermatitis is a type of eczema that occurs when your skin comes into contact with a substance that triggers an allergic reaction or irritates your skin. This condition can cause itchy bumps that may resemble mosquito bites.

Types of Contact Dermatitis

There are two main types of contact dermatitis:

  1. Allergic contact dermatitis: Caused by an allergic reaction to a specific substance
  2. Irritant contact dermatitis: Caused by repeated exposure to a mild irritant or a single exposure to a strong irritant

Common Triggers of Contact Dermatitis

A wide range of substances can trigger contact dermatitis. Some common culprits include:

  • Metals (e.g., nickel in jewelry)
  • Cosmetics and skincare products
  • Latex
  • Poison ivy, oak, or sumac
  • Cleaning products
  • Certain fabrics or dyes
  • Adhesives

The American Academy of Allergy, Asthma & Immunology reports that over 3,700 substances are known to cause contact allergies, highlighting the complexity of this condition.

Identifying Contact Dermatitis

Symptoms of contact dermatitis can vary but often include:

  • Red, itchy bumps or rash
  • Dry, cracked, or scaly skin
  • Blisters or weeping sores
  • Burning or stinging sensation
  • Swelling in the affected area

These symptoms typically appear within hours or days after exposure to the triggering substance and can last for several weeks.

Treating Contact Dermatitis

The primary treatment for contact dermatitis involves identifying and avoiding the triggering substance. Other treatment options include:

  1. Applying cool compresses to the affected area
  2. Using over-the-counter hydrocortisone creams
  3. Taking oral antihistamines to reduce itching
  4. Moisturizing the skin regularly
  5. Using prescription-strength topical or oral corticosteroids for severe cases

If you suspect you have contact dermatitis, it’s essential to work with a healthcare professional to identify your specific triggers and develop an appropriate treatment plan.

Scabies: The Itchy Mite Infestation

Scabies is a highly contagious skin condition caused by tiny mites that burrow into the upper layer of the skin. This infestation can cause intense itching and a pimple-like rash that may resemble mosquito bites.

Understanding Scabies

Scabies is caused by the human itch mite (Sarcoptes scabiei var. hominis). These microscopic mites:

  • Burrow into the top layer of skin
  • Lay eggs in these burrows
  • Cause an intense allergic reaction and itching

Scabies is typically spread through prolonged skin-to-skin contact with an infected person. It can also sometimes be transmitted through infested bedding or clothing.

Recognizing Scabies Symptoms

The primary symptoms of scabies include:

  • Intense itching, especially at night
  • A pimple-like rash
  • Scales or blisters
  • Sores caused by scratching
  • Thin, irregular burrow tracks made up of tiny blisters or bumps on the skin

These symptoms typically appear 2-6 weeks after the initial infestation for first-time infections. In people who have had scabies before, symptoms may appear within days.

Treating Scabies

Scabies requires medical treatment to eliminate the infestation. The standard treatment involves:

  1. Prescription scabicide lotions or creams
  2. Treating all household members and close contacts simultaneously
  3. Washing all bedding, clothing, and towels in hot water
  4. Vacuuming the entire home
  5. Treating itching with antihistamines or other prescribed medications

It’s crucial to follow the treatment plan exactly as prescribed to ensure complete eradication of the mites. Itching may persist for several weeks after treatment due to the body’s ongoing allergic reaction to the mites.

Allergic Reactions: When Your Immune System Overreacts

Allergic reactions occur when your immune system responds to a typically harmless substance as if it were a threat. These reactions can manifest in various ways, including itchy bumps on the skin that may resemble mosquito bites.

Common Allergens

A wide range of substances can trigger allergic reactions. Some of the most common include:

  • Pollen from trees, grasses, and weeds
  • Dust mites
  • Animal dander
  • Certain foods (e.g., nuts, shellfish, eggs)
  • Insect stings or bites
  • Medications
  • Latex

Recognizing Allergic Skin Reactions

Allergic reactions on the skin can present in various ways, including:

  • Hives (urticaria)
  • Eczema (atopic dermatitis)
  • Angioedema (swelling beneath the skin)
  • Contact dermatitis

These reactions can cause itchy bumps, redness, swelling, and other symptoms that may be mistaken for insect bites.

Treating Allergic Skin Reactions

The treatment for allergic skin reactions depends on the severity and specific symptoms. General approaches include:

  1. Identifying and avoiding triggers
  2. Using over-the-counter antihistamines
  3. Applying topical corticosteroids or calamine lotion
  4. Taking oral corticosteroids for severe reactions
  5. Using epinephrine auto-injectors for life-threatening reactions (anaphylaxis)

For persistent or severe allergies, immunotherapy (allergy shots or sublingual tablets) may be recommended to reduce sensitivity to specific allergens over time.

When to Seek Medical Help for Itchy Skin Bumps

While many cases of itchy skin bumps can be managed at home, there are instances when professional medical help is necessary. Here are some situations that warrant a visit to a healthcare provider:

  • The itching is severe and interferes with daily activities or sleep
  • The rash or bumps persist for more than a few weeks
  • You develop signs of infection, such as fever, pus, or increased pain
  • The rash spreads rapidly or covers a large area of your body
  • You experience other symptoms like difficulty breathing, dizziness, or swelling of the face or throat
  • Over-the-counter treatments don’t provide relief
  • You’re unsure about the cause of your symptoms

A healthcare professional can provide a proper diagnosis and recommend appropriate treatment based on the specific cause of your itchy skin bumps.

Prevention and Self-Care for Itchy Skin

While not all causes of itchy skin bumps can be prevented, there are several steps you can take to reduce your risk and manage symptoms:

  1. Identify and avoid known triggers or allergens
  2. Keep your skin moisturized to prevent dryness and itching
  3. Use gentle, fragrance-free soaps and detergents
  4. Take lukewarm (not hot) showers or baths
  5. Wear loose-fitting, breathable clothing
  6. Manage stress through relaxation techniques or exercise
  7. Use insect repellent and protective clothing to prevent bug bites
  8. Keep your living space clean and free from pests

Remember, the key principle recommended by the American College of Allergy, Asthma & Immunology is to avoid scratching itchy skin, as this can lead to further irritation or infection.

By understanding the various causes of itchy skin bumps and taking appropriate preventive measures, you can better manage your skin health and overall well-being. If you’re experiencing persistent or concerning symptoms, don’t hesitate to consult with a healthcare professional for personalized advice and treatment.

Itchy bumps on skin like mosquito bites: What are they?

Several skin conditions can cause itchy lumps that resemble bug bites. These include allergic reactions, infections, and chronic conditions.

Most people experience this symptom at some point. Itchy bumps can appear as a result of allergies, infections, insects, and, sometimes, nonidentified factors.

However, there is one general principle that the American College of Allergy, Asthma & Immunology recommend people to follow when their skin itches: Do not scratch it.

Additional general self-care practices for itchy skin include:

  • bathing frequently in lukewarm water
  • using gentle, hypoallergenic soap
  • limiting exposure to the sun
  • applying cold compresses
  • avoiding tight clothing in areas where itchy bumps appear

Understanding the different conditions that can cause itchy bumps on the skin can help people get appropriate treatment. Depending on the cause, treatment can range from avoiding certain foods to taking prescription medications.

Keep reading to learn more about some common causes of itchy bumps that look like mosquito bites and how to treat them.

The medical term for hives is urticaria, and it describes a condition that produces raised itchy areas on the skin. If a person notices bumps on the skin that resemble mosquito bites but has not had any exposure to mosquitos, the cause is probably acute urticaria. The term “acute” means that the condition does not last longer than 6 weeks.

Hives are very common, affecting about 20% of people at some point in their lives. Certain kinds of foods, such as peanuts, tree nuts, and seafood, cause hives in many people due to an allergic reaction. Latex, pollen, insects, various plants, and some medications, such as sulfa drugs or even aspirin, may also cause hives.

Hives cause characteristic red, purple, or skin colored itchy bumps that appear and disappear quickly anywhere on the body. These bumps typically turn white or disappear when a person presses them.

Treatment

The treatment for hives depends on the severity and cause of the rash, but it includes avoiding known triggers. People who are extremely allergic to a trigger — for example, peanuts or certain insects — may need to carry an epinephrine auto-injector, such as an Epipen. This device can stop a potentially life threatening reaction if a person has accidental contact with a known allergen.

Anti-itching lotions and over-the-counter (OTC) antihistamines can provide relief for mild symptoms, while more intense outbreaks may require stronger prescription versions of these drugs or corticosteroids.

Learn more about hives here.

According to the Centers for Disease Control and Prevention (CDC), bed bug bites can resemble bites from other bugs, although they can take as long as 2 weeks to materialize.

People who notice itchy bumps on the skin that resemble mosquito bites should check for:

  • other signs of bed bugs
  • bed bugs themselves on a mattress or sheet
  • dead bed bugs
  • blood spots on a mattress or sheet
  • the characteristic musty smell associated with bed bugs

If the bites appear in a straight line, they are likely to be due to bed bugs. However, bed bug bugs can also appear in more random formations.

Treatment

Unless someone has a severe allergic reaction, experts recommend simple self-care practices to treat any bites. These include not scratching, applying OTC antiseptic ointments, and taking antihistamines.

Learn more about bed bugs here.

Contact dermatitis is essentially an allergic reaction that develops when a person’s skin comes into contact with something to which they are allergic, such as latex or certain metals or household products.

It can take 1–2 days for the reaction to develop and 2–3 weeks for symptoms to disappear. Contact dermatitis may hurt as much as it itches, and it may present with inflammation and blisters.

Treatment

Self-care with cold compresses, calamine lotion, and soothing baths can help provide relief.

Prescription medication, such as antihistamines and cortisone, may be necessary if the reaction is severe.

Working with healthcare professionals can help people identify their triggers, which can be complicated.

According to the American Academy of Allergy, Asthma & Immunology, there are more than 3,700 substances known to cause contact allergies. Avoiding triggers is a key part of managing contact dermatitis, along with thoroughly washing the affected area with soap and water after exposure happens.

Learn more about contact dermatitis here.

The human itch mite is responsible for scabies. This mite digs its way through the top layer of the skin and lays eggs. Its tunnels can sometimes be visible on the surface of the skin, where they appear as raised, crooked, skin colored lines. However, the most common symptom of scabies is itchy bumps on the skin. These are like mosquito bites, only smaller.

Sites of the body that this very itchy condition commonly affects include the wrists, the elbows, between the fingers, and behind the knees.

Treatment

Only a prescription lotion will treat scabies effectively, and individuals need to follow the application directions exactly. Anyone who has had extensive skin-to-skin contact with someone with scabies should also seek treatment.

It is very important that people with scabies thoroughly wash and dry all of their clothes, towels, sheets, bedding, and other household items. Other remedies for scabies may also help.

Learn more about scabies here.

Also known as atopic dermatitis, this common condition causes itchy, red, irritated skin that can sometimes develop bumps. In the long term, it can make the skin thicker, scaly, and flaky, as well as causing it to change color.

Scratching makes eczema worse and increases the risk of infection. Eczema occurs due to a combination of genetic and environmental factors, which prompt the immune system to overreact to certain triggers, such as laundry soap or sweating. It typically affects the face, elbows, knees, scalp, and backs of the hands.

Treatment

According to the National Eczema Association, treating eczema calls for a mix of self-care, OTC drugs, and prescription medications. People with eczema can identify and learn to manage or avoid triggers for their outbreaks.

Changing bathing practices and using moisturizer can also help. Prescription lotions, systemic medications, UVB light, and biologics can address more severe symptoms.

Learn more about the different types of eczema here.

Skin problems, such as itchy bumps on the skin similar to mosquito bites, can range from mild to severe.

Some issues, including bed bug bites, can be fleeting, while others, such as allergic reactions to certain foods, are signs of a permanent condition. However, most skin problems generally respond well to treatment.

If the symptoms do not improve with self-care practices, people should see a medical professional to determine what is causing the outbreak and how to treat it.

Itchy bumps on skin like mosquito bites: What are they?

Several skin conditions can cause itchy lumps that resemble bug bites. These include allergic reactions, infections, and chronic conditions.

Most people experience this symptom at some point. Itchy bumps can appear as a result of allergies, infections, insects, and, sometimes, nonidentified factors.

However, there is one general principle that the American College of Allergy, Asthma & Immunology recommend people to follow when their skin itches: Do not scratch it.

Additional general self-care practices for itchy skin include:

  • bathing frequently in lukewarm water
  • using gentle, hypoallergenic soap
  • limiting exposure to the sun
  • applying cold compresses
  • avoiding tight clothing in areas where itchy bumps appear

Understanding the different conditions that can cause itchy bumps on the skin can help people get appropriate treatment. Depending on the cause, treatment can range from avoiding certain foods to taking prescription medications.

Keep reading to learn more about some common causes of itchy bumps that look like mosquito bites and how to treat them.

The medical term for hives is urticaria, and it describes a condition that produces raised itchy areas on the skin. If a person notices bumps on the skin that resemble mosquito bites but has not had any exposure to mosquitos, the cause is probably acute urticaria. The term “acute” means that the condition does not last longer than 6 weeks.

Hives are very common, affecting about 20% of people at some point in their lives. Certain kinds of foods, such as peanuts, tree nuts, and seafood, cause hives in many people due to an allergic reaction. Latex, pollen, insects, various plants, and some medications, such as sulfa drugs or even aspirin, may also cause hives.

Hives cause characteristic red, purple, or skin colored itchy bumps that appear and disappear quickly anywhere on the body. These bumps typically turn white or disappear when a person presses them.

Treatment

The treatment for hives depends on the severity and cause of the rash, but it includes avoiding known triggers. People who are extremely allergic to a trigger — for example, peanuts or certain insects — may need to carry an epinephrine auto-injector, such as an Epipen. This device can stop a potentially life threatening reaction if a person has accidental contact with a known allergen.

Anti-itching lotions and over-the-counter (OTC) antihistamines can provide relief for mild symptoms, while more intense outbreaks may require stronger prescription versions of these drugs or corticosteroids.

Learn more about hives here.

According to the Centers for Disease Control and Prevention (CDC), bed bug bites can resemble bites from other bugs, although they can take as long as 2 weeks to materialize.

People who notice itchy bumps on the skin that resemble mosquito bites should check for:

  • other signs of bed bugs
  • bed bugs themselves on a mattress or sheet
  • dead bed bugs
  • blood spots on a mattress or sheet
  • the characteristic musty smell associated with bed bugs

If the bites appear in a straight line, they are likely to be due to bed bugs. However, bed bug bugs can also appear in more random formations.

Treatment

Unless someone has a severe allergic reaction, experts recommend simple self-care practices to treat any bites. These include not scratching, applying OTC antiseptic ointments, and taking antihistamines.

Learn more about bed bugs here.

Contact dermatitis is essentially an allergic reaction that develops when a person’s skin comes into contact with something to which they are allergic, such as latex or certain metals or household products.

It can take 1–2 days for the reaction to develop and 2–3 weeks for symptoms to disappear. Contact dermatitis may hurt as much as it itches, and it may present with inflammation and blisters.

Treatment

Self-care with cold compresses, calamine lotion, and soothing baths can help provide relief.

Prescription medication, such as antihistamines and cortisone, may be necessary if the reaction is severe.

Working with healthcare professionals can help people identify their triggers, which can be complicated.

According to the American Academy of Allergy, Asthma & Immunology, there are more than 3,700 substances known to cause contact allergies. Avoiding triggers is a key part of managing contact dermatitis, along with thoroughly washing the affected area with soap and water after exposure happens.

Learn more about contact dermatitis here.

The human itch mite is responsible for scabies. This mite digs its way through the top layer of the skin and lays eggs. Its tunnels can sometimes be visible on the surface of the skin, where they appear as raised, crooked, skin colored lines. However, the most common symptom of scabies is itchy bumps on the skin. These are like mosquito bites, only smaller.

Sites of the body that this very itchy condition commonly affects include the wrists, the elbows, between the fingers, and behind the knees.

Treatment

Only a prescription lotion will treat scabies effectively, and individuals need to follow the application directions exactly. Anyone who has had extensive skin-to-skin contact with someone with scabies should also seek treatment.

It is very important that people with scabies thoroughly wash and dry all of their clothes, towels, sheets, bedding, and other household items. Other remedies for scabies may also help.

Learn more about scabies here.

Also known as atopic dermatitis, this common condition causes itchy, red, irritated skin that can sometimes develop bumps. In the long term, it can make the skin thicker, scaly, and flaky, as well as causing it to change color.

Scratching makes eczema worse and increases the risk of infection. Eczema occurs due to a combination of genetic and environmental factors, which prompt the immune system to overreact to certain triggers, such as laundry soap or sweating. It typically affects the face, elbows, knees, scalp, and backs of the hands.

Treatment

According to the National Eczema Association, treating eczema calls for a mix of self-care, OTC drugs, and prescription medications. People with eczema can identify and learn to manage or avoid triggers for their outbreaks.

Changing bathing practices and using moisturizer can also help. Prescription lotions, systemic medications, UVB light, and biologics can address more severe symptoms.

Learn more about the different types of eczema here.

Skin problems, such as itchy bumps on the skin similar to mosquito bites, can range from mild to severe.

Some issues, including bed bug bites, can be fleeting, while others, such as allergic reactions to certain foods, are signs of a permanent condition. However, most skin problems generally respond well to treatment.

If the symptoms do not improve with self-care practices, people should see a medical professional to determine what is causing the outbreak and how to treat it.

7 signs of skin cancer that no one pays attention to

Everyone knows that if a mole has changed size or color, you need to urgently run to an oncologist. But it happens that the body gives much less obvious signals that may indicate a malignant skin tumor.

16,000 British people are diagnosed with skin cancer every year, and 2,500 of them eventually die, reports the Mirror. The good news is that 80 to 100 percent of cases found in stage 1 or 2 are easily treatable. How not to overlook the tumor, said dermatologist Ross Perry.

1. Unexplained scars

Basalioma. Photo © Wikimedia Commons

If out of nowhere you have a scar that grows in size, this may be a sign of a basalioma. It occurs on areas of the skin that are exposed to intense sun exposure. The scar may look like a waxy thickening. This is the most common form of skin cancer, but, fortunately, the least dangerous if detected early.

2. Eruptions on the eyelids

Basalioma on the eyelid. Photo © BOPSS

Eyelid malignancies may be brown, black, red, or flesh-colored. They can be hard to the touch, itchy and painful, or shiny and waxy. It is important to record all the changes that occur to them. To protect your eyelids from ultraviolet light, you need to wear sunglasses or a hat, and use sunscreen.

3. Black spots under nails

Subungual melanoma. Video screenshot: YouTube / The Doctors

Subungual melanoma is easily confused with a common bruise. Most often, it occurs under the thumbnail as a result of regular injury to this area. If left untreated, subungual melanoma can spread to other parts of the body.

4. Itching of the scalp

Squamous cell carcinoma. Photo © Brown University

If your head is constantly itching, take a close look at the skin under your hair. Scalp cancer is more common in men and there are three types. Firstly, it is a basalioma, but it is rare and not so dangerous. The second form is squamous cell carcinoma. It affects fair-skinned people who are often exposed to the sun, and appears as scaly red spots, open sores, rough, thickened, or warty areas of the skin, and raised, dimpled growths. But the most dangerous form is melanoma, and it looks like a normal mole.

5. Non-healing ulcers

Basalioma. Photo © Wikimedia Commons

These sores can look lumpy, dry and scaly. They can also itch and bleed. All these signs indicate the risk of developing basalioma.

6. Non-healing “insect bites”

Site of mosquito bite. Photo © Wikimedia Commons

Red bumps, which in the warm season can easily be mistaken for mosquito bites, can actually be something much more serious. If they have not gone away even after a few weeks, you should go to the doctor to rule out the risk of developing skin cancer.

7. Pale patch of skin on the head or neck

Basalioma. Photo © The Skin Cancer Foundation

These spots most often occur on the face, head and neck after prolonged exposure to the sun. If they do not disappear within four weeks, it is worth making an appointment with a dermatologist.

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    The doctor named the signs of skin cancer that can be detected at home

    The doctor named the signs of skin cancer that can be detected at home

    Some symptoms of skin cancer at the initial stage of the disease can be detected independently by examining your body in the mirror, said British doctor Ross Perry in … RIA Novosti, 05/31/2021

    9UK

    health

    cancer

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    MOSCOW, May 31 – RIA Novosti. Some symptoms of skin cancer at the initial stage of the disease can be detected independently by examining your body in the mirror, said British doctor Ross Perry in a commentary to the Daily Mirror. For example, according to a doctor, small red bumps on the skin that are easily mistaken for mosquito bites may actually be signs of skin cancer. “The patient may decide that he was bitten by insects, but in this case, the marks on the skin will disappear within a couple of weeks and will gradually decrease every day,” the doctor explained. If he found non-healing wounds that cause discomfort, he advised to consult a specialist. Readers of the newspaper were also warned about other signs of skin cancer that can be detected on their own. Among them:

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    MOSCOW, May 31 – RIA Novosti . Some symptoms of skin cancer at the initial stage of the disease can be detected on your own by looking at your body in the mirror, British doctor Ross Perry told in a commentary on Daily Mirror .

    For example, according to a doctor, small red bumps on the skin that are easily mistaken for mosquito bites may actually be signs of skin cancer.

    «

    “The patient may decide that he was bitten by insects, but in this case, the marks on the skin will disappear within a couple of weeks and will gradually decrease every day,” the doctor explained.