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What Do Red Spot's On The Lower Legs Indicate?
Question: my wife has noticed that she's had these red spots on the lower parts of both her legs for a week or two. she has not been evaluated by a doctor yet. do you know what the cause of this could be? see the attached image.
Brief Answer:
Kindly upload more images with better clarity
Detailed Answer:
Hello. Thank you for writing to us
I am dr.kakkar (dermatologist).
I have gone through your query and I have viewed the image.
However, the image is not very clear. I request you to upload a few more images with good clarity.
Also let me know if she has any associated symptoms like itching?burning?any joint pains?or swelling of legs?
Regards
Kindly upload more images with better clarity
Detailed Answer:
Hello. Thank you for writing to us
I am dr.kakkar (dermatologist).
I have gone through your query and I have viewed the image.
However, the image is not very clear. I request you to upload a few more images with good clarity.
Also let me know if she has any associated symptoms like itching?burning?any joint pains?or swelling of legs?
Regards
Above answer was peer-reviewed by :
Dr. Kampana
some better pictures are attached. she does have occasional itching in the area but no burning. there is minor swelling in the feet and it is a bit sensitive to touch.
Brief Answer:
Possibility of small vessel vasculitis
Detailed Answer:
Hello.
Unfortunately I did not receive the new images. However, based on the symptoms like itching, swelling of feet and sensitivity of lesions I would keep a possibility of small vessel vasculitis/leukocytoclastic vasculitis.
For itching she may take an oral antihistamine e.g tablet cetrizine 10mg once daily in evening for a few days. Avoid standing or walking as much as possible and keep legs a little elevated when lying down.
She may also take an oral antiinflammatory/painkiler e.g tablet ibuprofen 400mg, twice daily in case she has pain in legs or joint pains..
A short course of an oral steroids e.g tablet omnacortil 20mg once daily(after breakfast) for 10 days is also advisable as well as an antacid e.g tablet pantocid 40mg once daily empty stomach(before breakfast).
I will also suggest a few basic investigations e.g complete blood count, liver and kidney function test, urine routine microscopy, urine protein, ANA, RF, XXXXXXX complement levels etc.
Regards
Possibility of small vessel vasculitis
Detailed Answer:
Hello.
Unfortunately I did not receive the new images. However, based on the symptoms like itching, swelling of feet and sensitivity of lesions I would keep a possibility of small vessel vasculitis/leukocytoclastic vasculitis.
For itching she may take an oral antihistamine e.g tablet cetrizine 10mg once daily in evening for a few days. Avoid standing or walking as much as possible and keep legs a little elevated when lying down.
She may also take an oral antiinflammatory/painkiler e.g tablet ibuprofen 400mg, twice daily in case she has pain in legs or joint pains..
A short course of an oral steroids e.g tablet omnacortil 20mg once daily(after breakfast) for 10 days is also advisable as well as an antacid e.g tablet pantocid 40mg once daily empty stomach(before breakfast).
I will also suggest a few basic investigations e.g complete blood count, liver and kidney function test, urine routine microscopy, urine protein, ANA, RF, XXXXXXX complement levels etc.
Regards
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. Chakravarthy Mazumdar
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