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Freckles on top of feet, schamburg's disease. Prescribed vitamin k and c. Treatment?

I am 38 yrs old and I have a lot of freckles (brown spots) on top of my feet up to my inner ankles. I consulted 2 specialists and they both told me its..Schamburg s disease. One Dr. advised to take Vit.K tabs and the other told me to take Vit.C tabs twice a day. They both told me its harmless.... but I am worried. I dont excercise, but since 2 weeks I am walking almost 3-4 kms this OK. Also I am wearing support medical socks. Pls advise what other care I should take.
Asked On : Sat, 8 Sep 2012
Answers:  1 Views:  622
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Dermatologist 's  Response
Jul 2012
Hi there Zeno. Being a Dermatologist this seems up my street. However, from your description, i seem to concur with the other dermatologists' opinion in that it does appear to be 'Schamberg's disease'. The pigmentation arises largely due to 'hemosiderin' deposits & increases over a period of time. That is the underlying pathology but the pathogenesis itself appears unclear hence the remedies too are similar. Both Vit C & Vit K are powerful antoxidants & recommended for this virtue in your case. I presume you wear the 'medical socks' on account of varicosities? Please do upload some clear photographs of both your lower limbs on this portal for a more holistic advice or consult with us using the premier package. They are right..harmless it most certainly is but 'unsightly' especially for a woman. I did have a male doctor as a patient this morning with a similar issue. I always recommend sleeping with the 'foot-end' of the bed raised & try to sit with your feet up & avoid standing for long periods..all general measures for improving the venous drainage of the area & limiting the damage. Use of a topical skin lightening cream may be useful & some of us dermatologists' push for laser treatments but have not found them to be of much use..perhaps lighten the skin to an extent. Cheers & Wish you Good Health & Good Skin!
Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Vikram Hospital, Bangalore, India
Answered: Sat, 8 Sep 2012
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