Pigmented Purpuric Dermatosis

Pigmented purpuric dermatosis is a condition in which the skin has reddish-brown patches due to leaky capillaries (small blood vessels). The patches are scattered in various body parts and fade away slowly in some weeks. It occurs due to a reaction to medications or after exercise.

  
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My father has pigmentation in the feet and toes of both legs. Why?

Query: Hello doctor,I have noticed my father has developed some pigmentation in the feet and toes of both legs. Since he does not live with me I cannot tell the duration but last year it was not there. He also complains of pain in the right foot when he goes for a long walk. He then rests and then continue...  Read Full »


Answer: Hello, Welcome to icliniq.com. Thank you for your query. It looks like pigmented purpuric dermatoses; due to the weakening of small blood vessels of the feet. You can apply depigmenting creams and moisturizers for dry skin and can take vitamin C tablets. Practice leg elevation or keep pillows under ...  Read Full »

I have clustered black spots around my biceps. What to do?

Query: Hello doctor, I have had a bunch of black spots clustered on my arm around my bicep area for years, and it randomly appeared about ten years ago. I never knew what it was and would like to ask if there are any solutions to this issue?   Read Full »


Answer: Hello, Welcome to icliniq.com. It is PPD (pigmented purpuric dermatosis). I suggest you consult a specialist and use the following medications with their consent. Apply Venusia Max cream (Dimethicone, Shea butter, and Glycerine) twice daily for 20 days. Moisturize the area frequently. Apply Tenova...  Read Full »

How to get rid of pigmented purpuric dermatosis?

Query: Hi doctor, I have some flat red dots on my feet, ankles, and leg. They are petechiae because they do not blanch. I do not have many of them, but they always tend to fade and come back in the same spots. I do not know if it is normal. I consulted five doctors, and I have not got my blood tested. The...  Read Full »


Answer: Hi, Welcome to icliniq.com. I understand your concern. Please attach photographs to suggest the diagnosis and treatment. It might be pigmented purpuric dermatosis, a kind of pigmentation due to vascular stasis, seen on the lower legs and around ankles, but I need to see it to confirm. Kindly send ...  Read Full »

Do I need biopsy for a lesion on my calf?

Query: Hello doctor, A lesion on my calf is bruising. My GP said it was only worrying because I am 20 and very healthy. I have been trying to get an appointment for it to be looked at since the summer and it was cancelled last week because of COVID-19. As I was becoming increasingly worried and my GP said...  Read Full »


Answer: Hi, Welcome to icliniq.com. I have gone through your case. Your lesions on the calf are part of Schamberg's disease of pigmented purpuric dermatosis. It occurs when due to some reasons like prolonged standing, blood accumulates in lower limbs and there in vessels pressure increases, and they get r...  Read Full »

What are the causes of reddish-brown patches on the ankle?

Query: Hi doctor, I have reddish brown patches like hives on my ankle area of both feet, I am 24 years old.  Read Full »


Answer: Hello, Welcome to icliniq.com. This condition is known as pigmented purpuric dermatosis. It is seen in people who either have to stand for long times or sit with legs hanging for long, which leads to the pooling of blood in these areas. To keep blood pooling down keep your feet and high during sle...  Read Full »

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