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I Am A 22 Year Old Male In Good Health.

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Posted on Sat, 13 Jun 2020
Question: I am a 22 year old male in good health. I have had small black dots on my left leg for several years. They are completely flat, and do not ever scab or hurt.
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Follow up: Dr. Dr. Kakkar (0 minute later)
I am a 22 year old male in good health. I have had small black dots on my left leg for several years. They are completely flat, and do not ever scab or hurt.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Kindly upload clearer images

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

I can make out some vaguely blue to black spots. They could be lentigines which are flat, physiological and sun induced or they could perhaps be traumatic tattoo from a previous injury- flat, blue to black spots at site of trauma due to impregnation of a foreign body like sand/ silica etc..Is there any history of trauma at this site? Unfortunately the images are not very clear. They are a bit out of focus. I request you to kindly upload a few more good quality images of the affected area so that I am able to have a better look.

Hope to assist you further with your query.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Kindly upload clearer images

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

I can make out some vaguely blue to black spots. They could be lentigines which are flat, physiological and sun induced or they could perhaps be traumatic tattoo from a previous injury- flat, blue to black spots at site of trauma due to impregnation of a foreign body like sand/ silica etc..Is there any history of trauma at this site? Unfortunately the images are not very clear. They are a bit out of focus. I request you to kindly upload a few more good quality images of the affected area so that I am able to have a better look.

Hope to assist you further with your query.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Kakkar (13 hours later)
I can say with almost one hundred percent certainty there has been no trauma to the area.
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Follow up: Dr. Dr. Kakkar (0 minute later)
I can say with almost one hundred percent certainty there has been no trauma to the area.
doctor
Answered by Dr. Dr. Kakkar (30 hours later)
Brief Answer:
Pigmented purpuric dermatosis- Schamburgs purpura

Detailed Answer:
Hi.
Most likely they are hemosiderin deposits from leaked blood through the capillaries I.e Schamburgs pupura- a type of pigmented purpuric dermatosis. It is mostly a cosmetic concern, asymptomatic, flat, may increase or resolve on it's own. However, in most instances it persists as it is for a very long time.
Take care
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Pigmented purpuric dermatosis- Schamburgs purpura

Detailed Answer:
Hi.
Most likely they are hemosiderin deposits from leaked blood through the capillaries I.e Schamburgs pupura- a type of pigmented purpuric dermatosis. It is mostly a cosmetic concern, asymptomatic, flat, may increase or resolve on it's own. However, in most instances it persists as it is for a very long time.
Take care
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Kakkar (14 hours later)
What causes this and what can be done to help the appearance of it?
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Follow up: Dr. Dr. Kakkar (0 minute later)
What causes this and what can be done to help the appearance of it?
doctor
Answered by Dr. Dr. Kakkar (30 hours later)
Brief Answer:
Schamburgs purpura

Detailed Answer:
Hi.
It is idiopathic. It is benign and mostly stays the same. In some it may resolve spontaneously or may slowly progress to form more such spots.You may try use a moderately potent topical steroid e.g either mometasone furoate cream or triamcinolone acetonide cream, twice daily for a few weeks to see if it improves..
Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Schamburgs purpura

Detailed Answer:
Hi.
It is idiopathic. It is benign and mostly stays the same. In some it may resolve spontaneously or may slowly progress to form more such spots.You may try use a moderately potent topical steroid e.g either mometasone furoate cream or triamcinolone acetonide cream, twice daily for a few weeks to see if it improves..
Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Kakkar (1 hour later)
I would definitely like to try one of the above medications/prescriptions. Can you subscribe that for me? I can provide a pharmacy and their location and phone number.
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Follow up: Dr. Dr. Kakkar (0 minute later)
I would definitely like to try one of the above medications/prescriptions. Can you subscribe that for me? I can provide a pharmacy and their location and phone number.
doctor
Answered by Dr. Dr. Kakkar (11 hours later)
Brief Answer:
Purpuric spots- try topical steroid cream

Detailed Answer:
Hi.
You need to talk to your local practitioner/ general physician for a prescription regarding the same. An overseas medical practitioner cannot prescribe.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Purpuric spots- try topical steroid cream

Detailed Answer:
Hi.
You need to talk to your local practitioner/ general physician for a prescription regarding the same. An overseas medical practitioner cannot prescribe.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (5 hours later)
Of those two, which do you recommend? Have you seen a successful outcome/improvement with this condition before?
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Follow up: Dr. Dr. Kakkar (0 minute later)
Of those two, which do you recommend? Have you seen a successful outcome/improvement with this condition before?
doctor
Answered by Dr. Dr. Kakkar (16 hours later)
Brief Answer:
Regarding Schamburgs purpura

Detailed Answer:
hi.
Many patients of Schamburgs purpura improve but some don't at all. I prefer mometasone furoate 0.1% cream, twice daily for 3-4 weeks to gauge whether they would respond to it or not.
Take care
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Regarding Schamburgs purpura

Detailed Answer:
hi.
Many patients of Schamburgs purpura improve but some don't at all. I prefer mometasone furoate 0.1% cream, twice daily for 3-4 weeks to gauge whether they would respond to it or not.
Take care
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. Yogesh D
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

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I Am A 22 Year Old Male In Good Health.

I am a 22 year old male in good health. I have had small black dots on my left leg for several years. They are completely flat, and do not ever scab or hurt.