<s>[INST] Hi. I have been diagnosed with Myasthenis gravis about two years ago and take mestinon daily as well as cortisone every second day. About two weeks ago I started noticing small roundish red spots appearing randomly on my arms. After a short while they turn light brown and remain. They are flat bloodred and do not itch or pain. Can you please help Wessel [/INST] Hi,It seems that you developed cherry angioma...also known as De Morgan spots.It is benign condition.There is proliferation of capillaries in dermis.They remain there without any harm.It is associated with many diseases ..like DM, hyperlipidemias,liver diseases,obesity,alcoholism..etcLong term steroids might provoke cherry angioma.It may be in normal person also and may develop inpregnacy.If they are embarassing, then only you go for treatment.Otherwise , you may live with them.Simple electrocautery under local anaesthesia can be done to treat the condition.You consult dermatologist.Thanks.Dr. Ilyas Patel MD </s>