Suggest remedies for dark red patches outside the right foot
Sir, what could have been the reason behind this and what medications/ointments can I take to clear these patches??? And also is there any chance that this is connected to my medical history as described below???
As far as medical history is concerned, I was diagnosed with High Blood Pressure since 23 and was trying for normal physical exercise for it but as the result were not very encouraging and as per opinion of my medicine doctor, I am on medication (TELMA AM) for High Blood Pressure since one and half year.
Schamburg's purpura; Topical steroid cream and Oral Vitamin
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image.
I can see small irregular spots of brown pigmentation coalesing at places to form a patch. This is Schamburg's purpura, also known as capillaritis.
Blood cells may pass through small gaps between the cells which make up the capillary walls. The result is petechial haemorrhages. These fade away depositing haemosiderin in the upper parts of it. The appearance is like cayenne pepper most commonly on ankles, feet and lower legs upto the shins, usually. The condition is asymptomatic and no treatment is usually necessary. Explaining the insignificant and benign nature of this condition is sufficient in most cases. The condition is supposedly more prevalent in individuals whose occupation require prolonged standing or walkng.
Several treatment options have been tried with variable response e.g topical steroid cream, topical tacrolimus ointment. Oral Vitamin C, Phototherapy etc
I would suggest you to use a topical moderately potent steroid cream e.g betamethasone valerate (betnovate cream), twice daily for a few days. In addition you may take a tablet of Vitamin C (Celin chewable tablet), once daily.
These are prescription medications and I suggest that you visit a dermatologist in your vicinity for a confirmatory diagnosis and for the needful.
2. Regarding this condition, whether is there any chance of recurrence and if so what can I do to prevent it??
3. Whether this condition remains always benign or are there any chance of this condition becoming fatal??
4. I am in a white collar job and does not involve prolonged standing or walking. So what could have triggered this in my case. And can i take it that there is no connection with my High BP?? I am slightly worried
Please help me in understanding my condition and also to prevent it further, if at all possible Sir....
It is a self limired condition but it may recur
It is slow responding condition. You should continue application and oral supplementation for at least 6-8 weeks byt which time you should notice improvement.
It may recur. There are no specific precautions that are effective in preventing a recurrence. General advice usually includes avoidance of prolonged standing and walking.
This is a self limited condition and sometimes even resolves or reduces on its own. It is only limited to lower legs and no chance of it becoming fatal.
No. There is no defined relation with high BP.
As per your first reply,it was instructed to apply for a few days..so I was assuming in few days I could see some recovery and be sure of the diagnosis..so that there is no need to visit a specialist...
then does it mean that there is no way to be sure of my condition before 6 to 8 weeks???
Initially for a 2 week period
By few days you would notice some improvement e.g by about 2 weeks, but you need to continue it for 6-8 weeks for further improvement
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