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What Do Small Red Flat Spots On The Lower Legs Indicate?

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Posted on Mon, 23 Jan 2017
Question: Small red flat red spots on lower legs, raised red bumps on tummy area, headache, minor sore throat and exhausted?

Status?
doctor
Answered by Dr. Saddiq Ulabidin (3 hours later)
Brief Answer:
It can be viral rash however platelets count should be rechecked

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, it can be acute respiratory infection due to viral causes or even some bacteria like staph or mycoplasma may present with rash and respiratory symptoms. It's better to get yourself examined by your primary physician and get a detailed throat and chest examination. Send throat cultures as well as blood screens for complete blood count and CRP. Some viruses may cause low platelets count which can also lead to such petechial rash as is shown in the picture.

Don't get worried as most of these community acquired viral infection are self limiting. You just need to keep a check on few lab and clinical parameters and treat symptomatically. Using OTC analgesics like acetaminophen and anti histamines like cetrizine or loratidine can help with symptoms. If throat swab or any other signs of bacterial infection on blood screens is proven, an antibiotics course may be needed.

Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Saddiq Ulabidin (9 minutes later)
Thank you! Why should my platelets be checked? I also had to have a punch biopsy of another arm rash that has not gone away it has in fact grown.
Is bacterial worse the viral as in infection?
Headache, tummy ache too
doctor
Answered by Dr. Saddiq Ulabidin (7 hours later)
Brief Answer:
Platelets count to look for any bleeding diathesis causing rash

Detailed Answer:
Hi! Thanks for the feedback. Platelets and Clotting profile to rule out bleeding diathesis to be cause of the rash. Also that severity of bacterial and viral infection depends upon type of bacteria or virus as most of the viral illnesses are self limiting but needs critical monitoring however bacterial infection need proper antibiotics else may spread to other organs or systems. Rash with sore throat and abdominal pains also necessitates the need to have detailed blood work up including blood counts, as well CRP, ESR and basic autoimmune workup as well. It would be good if you can share the report of that biopsy as you have mentioned earlier. Regards.
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. Remy Koshy
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Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Do Small Red Flat Spots On The Lower Legs Indicate?

Brief Answer: It can be viral rash however platelets count should be rechecked Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, it can be acute respiratory infection due to viral causes or even some bacteria like staph or mycoplasma may present with rash and respiratory symptoms. It's better to get yourself examined by your primary physician and get a detailed throat and chest examination. Send throat cultures as well as blood screens for complete blood count and CRP. Some viruses may cause low platelets count which can also lead to such petechial rash as is shown in the picture. Don't get worried as most of these community acquired viral infection are self limiting. You just need to keep a check on few lab and clinical parameters and treat symptomatically. Using OTC analgesics like acetaminophen and anti histamines like cetrizine or loratidine can help with symptoms. If throat swab or any other signs of bacterial infection on blood screens is proven, an antibiotics course may be needed. Wishing you a speedy recovery. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.