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Home drug test. In addition to a drug test, there are some ways you may be able to tell visually. Are the marks near major veins? Are they in a line that seems to follow the path of the vein underneath the skin? If someone is just scratching itchy skin, the lines would probably just be red, and maybe a bit raised, as if someone's dragged their fingernails across that patch of skin. Track marks on the other hand would look like little pin pricks.

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Q: How can you tell if marks on someone's upper thighs are track marks or from scratching itchy skin?
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