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What Causes Discolorations In Epidermal Layer Of Skin ?

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Posted on Fri, 12 Aug 2016
Question: I have infrequent recurence of small (less than 1 cm) diameter epidermal discolorations that are dark red in color and appear to be limited to the epidermal. They present unilaterailly along the top of my left forearm and dissapear completely in about 7 days. There is usually only one lesion at any one time. No pain or sensitivity accompanies them. I can go for 6 months without any recurrence. My liver panel enzymes are normal. What do you think is causing them?
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Needs clotting profile and workup

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

Based on the history you have shared, and description of the lesions, it can be due to submucosal capillaries or small vessels spilling blood under the skin.

You need to start with basic clotting profile and complete blood picture with peripheral blood smear for platelets count. If they are deranged then work up for their derangements may be needed.

Using vitamin C and vitamin K supplements may help to reduce their frequency. If the frequency increases, consider a detailed examination by visiting to your GP as it must be done in such case.

Wishing you a speedy recovery. If you have any more questions, feel free to ask.
Regards.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Saddiq Ulabidin (8 minutes later)
Would the fact that I take 162 mg of enteric aspirin daily affect such capillary leakage?
doctor
Answered by Dr. Saddiq Ulabidin (4 minutes later)
Brief Answer:
Yes it can affect that for sure

Detailed Answer:
H! Thanks for the details,

Yes it can affect the capillary leak by its antiplatelets aggregation action and can lead to bleeding tendencies or easy bruising. Use it with extreme caution once the tests confirm any such derangement.

Regards.
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. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Causes Discolorations In Epidermal Layer Of Skin ?

Brief Answer: Needs clotting profile and workup Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. Based on the history you have shared, and description of the lesions, it can be due to submucosal capillaries or small vessels spilling blood under the skin. You need to start with basic clotting profile and complete blood picture with peripheral blood smear for platelets count. If they are deranged then work up for their derangements may be needed. Using vitamin C and vitamin K supplements may help to reduce their frequency. If the frequency increases, consider a detailed examination by visiting to your GP as it must be done in such case. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.