Spots on palm. I've had these for awhile. 19, black, male?

Exam suggested. Spots, rashes, are impossible to DX in this format. To make an accurate DX, an exam is needed, so labs, full history and other testing as necessary. This can only be done in person.
VisualDX. Hi, it’s hard to say without a picture but there is a great app that may be able to help you get a diagnosis without being seen in person by a dermatologist. The app is called VisualDX and is one of the best, if not the best out there. Many clinicians, including myself, use it. Just snap a photo and it gives you a list of possible diagnoses. Good luck!
Palms. They could be of no concern but it won't hurt if you see a dermatologist.