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Often, the are an idication of syphilis. It usually indicates an infection approximately 3 years ago.
There are many other possibilities, though. They could be related to antibiotics, they could be an allergic reaction to something new like detergent, soap, cologne, etc. They could be a form of eczema. It's best to go to a doctor/dermatologist to have it evaluated, as you would need to get treatment for whichever condition it is. (some conditions are treatable, and some are only manageable.) There are some other options which are more serious, as well, especially if the red dots are appearing under the nails.
Good luck.
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