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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itching And Discoloration On The Lower Legs?

I am writing for my son Noah. He is 15 years old and in good health. He plays sports and is of appropriate weight for his age. When he stands in one place for more than a few minutes (like washing dishes or standing at the kitchen counter helping make dinner) his lower legs begin to itch. We have also noticed some discoloration on the outside and tops of his feet. It has been bothering him off and on for a while - couple of years. Does not seem to be a problem when sitting down or just standing around in a group. Any thoughts?
Wed, 26 Jul 2017
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General & Family Physician 's  Response
Hello and welcome to HCM.
It seems that the child has a condition called as stasis dermatitis caused due to some form of venous insufficiency in legs.
If I were your treating doctor ,I would recommend,
-Advice investigation like basic haemogram,blood coagulation factors and Doppler scan for blood circulation of legs.
Further medications will depend upon diagnosis.
-Apply locally topical corticosteroid ointment like triamcinolone 0.1% ointment (physician's prescription drug)
-keep skin moisturized by applying vaseline
-avoid standing for long at one place
-do frequent ankle exercises like flexion ,extension and circular movements at ankles.
-applying compression bandage in morning,sitting or sleeping with leg elevated
-keeping a watch over symptoms like shortness of breath,chest pain,sudden cough and report immediately to paediatrician/ER.
Thanks and regards.
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What Causes Itching And Discoloration On The Lower Legs?

Hello and welcome to HCM. It seems that the child has a condition called as stasis dermatitis caused due to some form of venous insufficiency in legs. If I were your treating doctor ,I would recommend, -Advice investigation like basic haemogram,blood coagulation factors and Doppler scan for blood circulation of legs. Further medications will depend upon diagnosis. -Apply locally topical corticosteroid ointment like triamcinolone 0.1% ointment (physician s prescription drug) -keep skin moisturized by applying vaseline -avoid standing for long at one place -do frequent ankle exercises like flexion ,extension and circular movements at ankles. -applying compression bandage in morning,sitting or sleeping with leg elevated -keeping a watch over symptoms like shortness of breath,chest pain,sudden cough and report immediately to paediatrician/ER. Thanks and regards.