black dots on back of body

Several conditions can potentially cause black dots on the skin, including acne, hyperpigmentation from old sun exposure, certain types of moles, or even more rarely, systemic conditions. Since these spots are neither painful nor itchy, it’s less likely to be an inflammatory reaction or infection like a fungal one, which tend to cause more irritation. However, it’s crucial not to self-diagnose as there can be overlaps in how skin conditions manifest. The fact that they are expanding and new dots are appearing might suggest a need for closer observation.

One possible explanation could be comedones or blackheads, especially if the skin tends to be oily or if there’s been previous acne tendencies. They can appear on the back and shoulders where oil glands are more active. But given the possibility of systemic issues in rare cases or the potential for a malignant change if these spots began as moles, it’s prudent to have them evaluated. Seeing a dermatologist would be the better choice here. They have specialized knowledge to differentiate between potential benign skin changes and those that may need further investigation. Meanwhile, you can document any changes in color, size, or number by taking clear photos. Note if they grow larger or change in any way. While it could be similar to what your mom experienced, there’s no guarantee it’s the same, so professional evaluation is your best guide.

Also, sometimes over-the-counter topical treatments for acne or gentle exfoliants can help with clearing blackheads, but use them cautiously to avoid irritation, especially if the cause isn’t identified. In particular, seek immediate medical evaluation if you notice rapid changes, if they start bleeding, or if there’s a significant enlargement, as these can be red flags. Remember, addressing skin conditions promptly can prevent potential complications, and it’s always worth getting a professional opinion even if it ends up being benign.