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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Red Dots On The Foot?

I have some very small pin sized red dots on the tops of my feet that itch. I have been using spray for athletes’ foot on the area but it doesn t seem to be helping at all. It’s the top of my feet which are exposed to the air all day (I wear dress shoes in an office). Then I noticed that the same red dots are going up the side of my left leg. I do have plaque psoriasis and have had for many years. But this is different. I have had these red spots for over 2 months now.
Thu, 19 Mar 2015
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Dermatologist 's  Response
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
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What Causes Red Dots On The Foot?

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