Hi, my dad who is 95 just started a couple
Answer few questions
Welcome to ask a doctor service
I have gone through your query and reviewed the attached photographs.
I need to ask few questions:
Is your dad taking any medicines or has been applying anything on his lower leg area?
Is he having diabetes or any other ailments?
Are these blisters associated with any itching, burning or pain?
Does he have history of any numbess on the lower leg?
Kindly revert with the answers.
He does not have diabetes
He/we have not applied anything to his lower legs. However, I have noticed they are puffy/swollen and red more than normal.
The blisters are only a fairly recent development.
My dad has dementia and never complains about anything. So I don't know if his legs hurt or are itchy.
I am unaware of any history of numbness however, If they are currently numb he can not tell me.
He does rub his legs a lot kind of more like a nervous habit. however, it is long strokes and higher up than were the blisters are. I have asked him about the rubbing if he is cold or itchy he always says no. but his answers are not really reliable.
I have either just sent you another picture 3 times or it did not attach. It shows a bunch of little scabs. A few weeks ago he had a bunch of little sore spots on his feet that I don't know if they were caused from something scratching his feet or they appeared on their own. You can see from this picture and the earlier ones how his feet are puffy/swollen. These pictures are about his normal level of puffiness and redness. As i mentioned above in the last few weeks I notice sometimes they are a lot redder.
Eczematous rash or bullous pemphihoid
According to your history there are few possibilities:
either an eczematous rash which is associated with blisters or localized bullous penphigoid which is an autoimmune bullous disease common in elderly individuals.
I would recommend you to apply a topical steroid antibiotic combination like betamethasone and fusidic acid cream on the affected areas twice daily for 7-10 days.
This should improve his condition.
Steroidal preparations are prescription drugs and need to see the doctor in person to get them.
If it doesn’t show much improvement consult a doctor and go for clinical and laboratory evaluation.