Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services or go to an emergency department if non-fading spots occur with severe drowsiness, confusion, a stiff neck, breathing difficulty, fainting, a seizure, or rapidly worsening illness.
Do not delay care to keep repeating a glass test.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Book a prompt appointment for a pigmented spot that is:
New and continuing to grow
Becoming uneven in shape or color
Different from your other spots
Bleeding or failing to heal
Changing over weeks or months
Seek same-day medical care for rapidly appearing red or purple spots that do not fade when pressed, especially with fever or worsening illness.
Pressing a clear drinking glass against the area may help show whether it fades, but this test is not a diagnosis.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if a macule is unexplained, remains for several weeks, or concerns you.
It should also be checked if it repeatedly itches, hurts, crusts, or bleeds.
Every sign above is quoted from the sofidex article on Macule. If you are not sure, err upward — it is always reasonable to be checked.