Punctate redness in the palms of the hands is not definitive for hypertension, which is diagnosed in patients with high blood pressure by monitoring blood pressure levels and exceeding normal blood pressure several times. Punctate redness of the palms can be seen as a localized bleeder, or it can be a dilation of the capillaries, which can be seen in bleeding disorders or liver disease. Punctate redness in the palms of the hands does not determine that the patient is experiencing hypertension and is not a basis for diagnosing hypertension. Patients with hypertension are those whose blood pressure level exceeds the normal value of ≥140/90 mmHg. According to the diagnostic criteria for hypertension, hypertension can be diagnosed when the blood pressure level exceeds the normal value for three times on a non-same day. When measuring blood pressure, attention should also be paid to ensure the correctness of the blood pressure level measurement, not to exercise strenuously before measuring blood pressure, and to choose an accurate sphygmomanometer. Patients with elevated blood pressure levels should go to the hospital for a clear diagnosis under the guidance of a physician, and attention should be paid to finding the cause of the redness in the palms of the hands.