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I have small red dots on the tops of my toes. They seem to only appear in the spring and summer and they come and go. I wear flip flops most of the time. They don’t itch much but they are sore. they usually appear on one toe and then begin to appear on other toes shortly after. I noticed them for the first time this year just the other day when I was sitting outside. One appeared on my toe and with in the next couple of hours more appeared on other toes too. What could this be?

These spots are most likely caused by local trauma and are likely the manifestation of bruises on your toes as they are sore and occur when you are wearing flip flops. If the spots are appearing spontaneously and not after you have been walking around in flip flops, then a different diagnosis can be explored.