The most common and most likely answer to this crossword clue is the 7 letter word PURPURA
P
U
R
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R
A
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The straight part
We know that "nasty spots" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case nasty spots = purpura.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
Crossword Answer definitions
PURPURA noun- The appearance of red or purple discolorations on the skin that do not blanch when pressure is applied, caused by subdermal bleeding.