Hello. Thank you for writing to us. I will keep a likely possibility of Schaumburg s Disease. It is type of pigmented purpuric dermatosis. Lesions in schaumburg s disease are distributed on bilateral lower limbs (commonly ankles and shins). These consist of pinhead-sized reddish lesions, resembling grains of cayenne-pepper that further form irregular plaques of orange or brown pigmentation (owing to deposition of hemosiderin). The patients are usually asymptomatic; slight itching may, however, be an associated feature. Standing and walking for long hours is a factor in its occurrence. Schaumburg s purpura is chronic and lesions either persist or extend with time. They may clear spontaneously in a few after persisting for months Or years. Recurrences though are not uncommon. No medical intervention is of proven benefit for the treatment of Schaumburg s disease. Oral calcium dobesilate may be tried and may help resolve lesions. If not it surely arrests further progression. I suggest that you visit a dermatologist for a confirmatory diagnosis as well as for the needful Regards