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Have Spots On Inner Thigh And Waist. Tested Negative For STD. Do I Have Mastocytosis?

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Posted on Fri, 22 Mar 2013
Question: I discovered small spots, maybe a quarter inch in size all over my inner thigh and waist. They do not hurt or itch. They are flat to the skin. They are purplish, kind of like a bruise. But, I have not had any trauma to any of the area at all. I can say, I am suspected of having Mastocytosis and do have Dermatographia. however, this looks nothing like my normal rashes. I have been recently test for STDs, and am negative. I have also been tested for Hepititis as I have slightly elevated ALT results. That was negative. Do you have thoughts as to what they could be?
doctor
Answered by Dr. Dr. Rahul Kumar (20 minutes later)
Hello.
Thanks for writing to us.
You mentioned, you have been suspected of mastocytosis.
Actually mastocytosis can present in various forms ranging from raised lesions which you usually have, to flat bruise like lesions.
Usually there is itching but not always.
Hence, in my opinion even this bruise like lesion is due to mastocytosis.

Kindly upload a few photographs of the lesion so I can give a closer diagnosis. There is a feature to upload the images by yourself on the right side of this query page. You may want to utilize it.

Intestinal polyps can be associated with pigmentation of skin but bruise like lesions are unlikely.
Let me know if you have further queries.
Wishing you good health.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Rahul Kumar (47 minutes later)
I uploaded some pictures for you. Also, can you suggest what type of Dr to see for the Mastocytosis? I keep being told anything from a Dermatologist, to an Allergist, to Oncologist, and Hematologist. I am at a loss, because no one seems to know where to send me.
doctor
Answered by Dr. Dr. Rahul Kumar (1 hour later)
Hello.
Thanks for the photographs.
According to me these lesions are of mastocytosis only.
The definitive diagnosis can be done by biopsy.
Please XXXXXXX a dermatologist and request him to do a biopsy. This will give a clear picture and hence a correct line of treatment can be given to you.
Thank you
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6641 Questions

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Have Spots On Inner Thigh And Waist. Tested Negative For STD. Do I Have Mastocytosis?

Hello.
Thanks for writing to us.
You mentioned, you have been suspected of mastocytosis.
Actually mastocytosis can present in various forms ranging from raised lesions which you usually have, to flat bruise like lesions.
Usually there is itching but not always.
Hence, in my opinion even this bruise like lesion is due to mastocytosis.

Kindly upload a few photographs of the lesion so I can give a closer diagnosis. There is a feature to upload the images by yourself on the right side of this query page. You may want to utilize it.

Intestinal polyps can be associated with pigmentation of skin but bruise like lesions are unlikely.
Let me know if you have further queries.
Wishing you good health.
Thank you