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What Causes A Dark Red Blotch On The Lower Leg?
Question: I have a dark red blotch as big as an eraser head that just appeared on lower leg a couple of days ago. It isn't irritated, just a tiny bit raised. Looking to try to figure out what it is. I have skin health anxiety issues after getting a small AK lesion frozen l off on forehead. I'm finding every spot to be potentially l suspicious.
Brief Answer:
Possibilities for a dry, scaly, red patch
Detailed Answer:
Hello. Thank you for writing to us
I am dr. kakkar (dermatologist). I have gone through your query and I have noted your concern.
I have viewed the images. It is a single, red, dry, oval patch. Also seems a bit scaly.
Clinical possibilities for a red, scaly, oval patch such as this are either discoid dermatitis, tinea (fungal infection), herald patch of pityriasis rosea or Bowen's disease.
I wont consider Actinic Keratosis (AKs) as my first possibility. AKs are more common on sun exposed skin and are usually seen on a background of sun damaged skin. AKs are usually multiple rather than a single patch.
This is most likely a patch of discoid dermatitis. I would suggest you to try a topical steroid cream e.g mometasone furoate 0.1% cream, twice daily for 2 weeks.
Regards
Regards
Possibilities for a dry, scaly, red patch
Detailed Answer:
Hello. Thank you for writing to us
I am dr. kakkar (dermatologist). I have gone through your query and I have noted your concern.
I have viewed the images. It is a single, red, dry, oval patch. Also seems a bit scaly.
Clinical possibilities for a red, scaly, oval patch such as this are either discoid dermatitis, tinea (fungal infection), herald patch of pityriasis rosea or Bowen's disease.
I wont consider Actinic Keratosis (AKs) as my first possibility. AKs are more common on sun exposed skin and are usually seen on a background of sun damaged skin. AKs are usually multiple rather than a single patch.
This is most likely a patch of discoid dermatitis. I would suggest you to try a topical steroid cream e.g mometasone furoate 0.1% cream, twice daily for 2 weeks.
Regards
Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for your quick response!
Brief Answer:
You are welcome
Detailed Answer:
Thank you for writing to us
Regards
You are welcome
Detailed Answer:
Thank you for writing to us
Regards
Above answer was peer-reviewed by :
Dr. Kampana
Now it appears there are other spots developing near the same area. Like four or five. Is this normal and what is the cause of this?
Brief Answer:
Pityriasis Rosea could be a possibility
Detailed Answer:
Ok.
Probably the initial lesion was a herald patch of pityriasis rosea and now there is a new crop of lesions developing. It is expected. I suspected pityriasis rosea as one of the differential diagnosis in my first reply. I request you to kindly upload fresh images with the new patches of lesions.
Treatment is the same for pityriasis rosea i.e a moderately potent topical steroid e.g either mometasone furoate 0.1% cream or betamethasone valerate 0.1% cream, twice daily.
Regards
Pityriasis Rosea could be a possibility
Detailed Answer:
Ok.
Probably the initial lesion was a herald patch of pityriasis rosea and now there is a new crop of lesions developing. It is expected. I suspected pityriasis rosea as one of the differential diagnosis in my first reply. I request you to kindly upload fresh images with the new patches of lesions.
Treatment is the same for pityriasis rosea i.e a moderately potent topical steroid e.g either mometasone furoate 0.1% cream or betamethasone valerate 0.1% cream, twice daily.
Regards
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Above answer was peer-reviewed by :
Dr. Yogesh D
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