Hello. thank you for writing to us at healthcaremagic I would suggest a possibility of pigmented purpuric dermatosis/ Schaumburg s Disease. In Schaumburg s disease, lesions are mostly seen on lower limbs, foot and ankle. They 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, though, there may be some itching. No medical intervention is of proven benefit for the treatment of Schaumburg s disease. Schamburg s disease is chronic and the lesions persist or extend with time and may clear spontaneously in a period ranging from months to years. I suggest that you visit a dermatologist for a confirmatory diagnosis. Regards