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I Have Some Blotchy Skin On My Legs And Arms.

Posted on Thu, 18 Apr 2019

Question: I have some blotchy skin on my legs and arms. I have no idea if it’s. Or so or if it could be a sign of something else.

Answered by Dr. Dr. Kakkar (42 minutes later)

Brief Answer:
Kindly upload images

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query.

I request you to kindly upload a few images of the affected area in "Reports Section" so that I am able to have a look and guide you accordingly.

Take care. Hope to assist you further once I get the images.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Kakkar (1 hour later)

Do you see the pictures I uploaded?

Answered by Dr. Dr. Kakkar (9 hours later)

Brief Answer:
Use a soothing lotion and take an oral antihistamine

Detailed Answer:
thank you
I have viewed the image. Possibly it is a viral exanthem or a drug reaction.Is it itchy? how long since you have had it? I suggest you to use a soothing lotion e.g Calamine lotion. You may also take an oral antihistamine e.g cetrizine 10mg tablet once a day for symptomatic relief.
take care.

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

Follow up: Dr. Dr. Kakkar (6 hours later)

It is not itchy. Not taking any meds, but I do test positive for certain autoimmune antibodies so I see a rheumy. I was worried that these are pestachiae/leaky blood vessels—does it look like that or Purpura? I hope. Or related to any autoimmune skin issues.

Answered by Dr. Dr. Kakkar (32 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi.

It could be related to autoimmunity. A lot of autoimmune conditions do present with purpuric or petechial skin rash - pin point haemorrhages which can be confused with a viral exanthema or a drug reaction, initially. Usually an acute worsening of an underlying autoimmune disease can be accompanied by that sort of a presentation. Which antibodies did you test positive for? How long since you have this? The management would then be towards the specific / suspected cause.

Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 minutes later)

Positive ANA speckled pattern 1280, SCL-70 positive 2.6, and one for SLE, I forgot the name.

Answered by Dr. Dr. Kakkar (26 hours later)

Brief Answer:
Regarding autoimmune diseases

Detailed Answer:
Hi,

I must say that a purpuric rash like yours is one of the manifestations of autoimmune disease like SLE and usually indicate a worsening of the underlying condition.

Are you on some specific treatment like immunosuppressives?
They may be warranted in your case after thorough investigation of internal organ involvement, especially renal, cardiac and lung involvement.

Let me know if I can assist you further...

Take care

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Above answer was peer-reviewed by : Dr. Arnab Banerjee