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What causes pigmented purpuric dermatoses?

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Posted on Fri, 30 Sep 2016
Question: hi Doctor
attached are the pics of my father's leg
please suggest the treatment and let us know what has happened to his skin.
doctor
Answered by Dr. Asmeet Kaur Sawhney (26 minutes later)
Brief Answer:
Answer few questions

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I am Dr Asmeet Kaur Sawhney, a dermatologist.
I need to ask you few questions:
What is the duration of this pigmentation?
Is it associated with itching or burning or any other symptoms?
Is your father having varicose veins or history of eczema?
Is there history of prolonged walking and standing in your father?
Is he having any thyroid disorder, liver disease or is he obese?
Kindly revert with the answers.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (10 minutes later)
Hi Doctor,

Please see the responses below :

What is the duration of this pigmentation? - 15 Days
Is it associated with itching or burning or any other symptoms? - No
Is your father having varicose veins or history of eczema? - No
Is there history of prolonged walking and standing in your father? - No
Is he having any thyroid disorder, liver disease or is he obese? - No

Actually he had fever 15 days back post the fever, this thing was started.
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Pigmented purpuric dermatosis and its management

Detailed Answer:
According to your history and the uploaded pictures this is pigmented purpuric dermatoses.
It is due leakage of blood in the skin and hence the pigmentation.
It is seen in persons with eczema, varicose veins, liver or thyroid disorders but in many cases it is idiopathic that is without any cause.
If I was his treating doctor I would recommend him to apply cream containing fluticasone diluted in a moisturising lotion like venussia lotion or moisturex soft lotion in the ratio of 1: 3 on the affected areas twice daily along with tablet calcium dobesilate 500 mg twice daily for 4-6 weeks.
It will take time to resolve and the treatment should be under the supervision of the doctor.
Along with this I would recommend him to keep his legs elevated by placing a pillow beneath them while lying down and also avoid prolonged standing and walking.
These are prescription drugs and he needs to see the doctor in person to get them.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 5012 Questions

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What causes pigmented purpuric dermatoses?

Brief Answer: Answer few questions Detailed Answer: Hi Thanks for being at healthcaremagic I am Dr Asmeet Kaur Sawhney, a dermatologist. I need to ask you few questions: What is the duration of this pigmentation? Is it associated with itching or burning or any other symptoms? Is your father having varicose veins or history of eczema? Is there history of prolonged walking and standing in your father? Is he having any thyroid disorder, liver disease or is he obese? Kindly revert with the answers. Regards Dr Asmeet