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What Causes Red Spots On Hands And Legs?

Posted on Wed, 3 Dec 2014

Question: hello doc
my wife is 27 yr old. she got red dots on legs and hand. I visited doctor. he gave tablet aetilite and limcee & calox lotion.
After this medicine red spots started reducing but now after 5 days from visiting doc it again started coming.
I am not able to understand what is it. it is increasing on leg and hand. please guide what is to be done.

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
Petechiae or purpura

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
It seems your wife is having Petechiae which are tiny red spots from blood capillary leakage,occurring because of a variety of reasons. Mostly, they develop on the legs, but they can also appear on other parts of the body. They are painless, do not itch and occur due to blood leaks in the skin vessels.
These red spot called Petechiae or purpura can be due to idiopathic thrombocytopenic purpura (ITP),common in females.
Alternatively these red spots may be palpable purpura commonly due to cutaneous small-vessel vasculitis, also known as leukocytoclastic vasculitis (LCV).
Let her undergo a complete blood count and subsequently testing for HIV infection and hepatitis C (and other infections if indicated); serologic testing for SLE.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Tushar Kanti Biswas (6 hours later)

red spots are not tiny. these are varying in sizes.

Answered by Dr. Tushar Kanti Biswas (5 hours later)

Brief Answer:
Upload close up images

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Petechiae or purpura can vary in sizes. The work-up remains same as advised.
If possible upload a close-up.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Tushar Kanti Biswas (6 minutes later)

pic attached

Answered by Dr. Tushar Kanti Biswas (3 hours later)

Brief Answer:
Palpable purpura

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
I have seen the picture.It looks like palpable purpura only. Please show her to a dermatologist. She will require skin biopsy and serological test like ANA,Ant-ds DNA apart from complete blood count.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Tushar Kanti Biswas (29 hours later)

Doctor has asked for reports attached. after seeing these reports he asked to continue limcee and calox lotion for one week and visit again. please guide me whether it is OK or not.

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
skin rash -Palpable purpura

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Except low platelet count your routine blood count and urinalysis does not show much.
You can continue whatever have been prescribed but at the same time complete the investigations as suggested to reach a conclusion.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj