Red dots on both sides of the shoulder without pain or itching may be caused by periosteal keratosis, cherry angioma, pressure purpura, etc., according to the specific causes of the choice of drugs, physical and other methods of treatment. 1. Keratosis Pilaris: Keratosis Pilaris may be triggered by heredity, vitamin A metabolism disorders, etc., which will lead to keratotic papules in the hair follicle area, causing red dots on both sides of the shoulders without pain or itching. Patients can apply topical Vitamin A cream, urea ointment and other medications, but also can choose cryotherapy, laser therapy and other physical therapy. 2. Cherry-like hemangioma: caused by capillary proliferation and expansion, the etiology is unknown. Generally, no treatment is needed. If there is a need for cosmetic treatment, it can be removed by physical methods such as laser. 3. Pressure purpura: usually because of gravity or venous reflux obstruction triggered, the patient more than no obvious symptoms, but will make the local skin petechiae of the size of a needle tip, appearing on both sides of the shoulders with red spots painless and itchy. Patients can take drugs to protect capillaries, such as vitamin C tablets, vitamin E tablets, etc., can make the symptoms ease. Red dots on both sides of the shoulder without pain or itching is also considered to be acne, vasculitis, etc., it is recommended to consult a doctor in a timely manner, to clarify the cause of the disease and follow the doctor’s instructions for symptomatic treatment, do not blindly use their own medication.