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What causes black spots on legs and reddish spots on face?

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Posted on Fri, 15 May 2015
Question: 3 years duration. movement sensation worse in feet. First small black round ? between toes and on bottoms. Spread up legs. Have now very itchy nose. Red small spots on skin of nose, inner arms, ribs. Seen many Drs. I am a nurse. Deceased husband was physician. Not delusional. Feeling is now more like a vibration. No circulation or other health problems. Some twitching back, calves, around eyes. Bloodwork within normal limits except low Fe and K. Corrected. Made no difference. Now seeing MD, also naturopath. Wonders if could be mite. Not scabies. Did have some sores on ankles, chin. Hard to heal.
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Answered by Dr. Rahul Kumar (6 hours later)
Brief Answer:
Photograph required

Detailed Answer:
Hello
Thanks for the query and a detailed history.
You have mentioned black spots on legs and reddish spots on face and other parts of body.
There is a possibility of rosaceae.
your description matches with that.
In dermatology various lesions mimic each other hence it's very important to see them in order to reach most probable diagnosis.
Can you please upload a photograph of the involved areas.
There is an option to upload photographs on right side of query page.
Please utilize it.
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Rahul Kumar (17 hours later)
I am not sure if you received my followup questions. Will try again. I DO have rosacea and yesterday was diagnosed with dermadex mites. The tar shampoo I have been using all over my body. It is harsh and the red spots on my face are bleeding. Have been using Cetaphil moisturizer. Suggestions? The other dark things the GP says are parasites. Will try to upload pictures. A Dr. in Costa Rica said they were a kind of roundworm treated only by Ivermectin, but that did not work. Mebendazole seems to help. Can't feel the movement when I take that or Benadryl. But still have them. Should I try longer than 3 day treatment? Or are these something else? Have done also Kwellada with no effect. Will upload pictures separately.
doctor
Answered by Dr. Rahul Kumar (16 minutes later)
Brief Answer:
Use Ivermectin lotion

Detailed Answer:
Hello
Thanks for the follow up.
If it is demodex even ivermectin lotion will work.
There is no need to apply tar lotion.
For parasites on body permethrin single application is enough.
If you are not getting response then diagnosis must be reconsidered.
Please upload the photographs.
It will help me in diagnosis.
You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better. You can also send the reports/ image to YYYY@YYYY with the subject as 'ATTN: Dr. Rahul Kumar'."
Thank you
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Rahul Kumar (28 minutes later)
ivermectin lotion not available in Canada. have pills from Costa Rica. Other suggestions?
doctor
Answered by Dr. Rahul Kumar (15 hours later)
Brief Answer:
Permethrin

Detailed Answer:
Hello
Thanks for the photograph.
If ivermectin lotion is not available you can go for permethrin lotion and oral ivermectin.
Better to avoid tar application.
It is important to know correct procedure for permethrin application.
You should have Scrub Bath In evening With warm water and apply permethrin all over body like a layer.
Let it dry for 10 min wear cloth and sleep.
In morning again take scrub bath with warm water.
Try this and let me know.
Thank you
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6318 Questions

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What causes black spots on legs and reddish spots on face?

Brief Answer: Photograph required Detailed Answer: Hello Thanks for the query and a detailed history. You have mentioned black spots on legs and reddish spots on face and other parts of body. There is a possibility of rosaceae. your description matches with that. In dermatology various lesions mimic each other hence it's very important to see them in order to reach most probable diagnosis. Can you please upload a photograph of the involved areas. There is an option to upload photographs on right side of query page. Please utilize it. Waiting for your response. Thank you.