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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Petechiae Cause Tissue Or Vascular Damage?

My ITP has been in remission for 13 years. However, I believe I may still have a purpensity for patikia. The only time / area the patikia presents is after I ve spent long hours walking on a hard surface, such as concrete or asphalt. The patikia is always limited to banding around and above bi-lateral ankles. Swelling and itchiness are the first signs that something is wrong. When I lift my pant legs, the bleeding under the skins is quite evident. The condition takes 4-8 days for the body to absorb and resolve. As my platelet count has consistently remained in the 200k-300k range for more than a decade, is this normal? I ve gotten no concern from my internist nor hematologist (focusing only on my bloodwork results). Should I be concerned about possible tissue damage or potential vascular issues? Other than mild hypertension (which is controlled nicely by Losartan), I am otherwise a healthy, active, 49 year old female.
Fri, 9 Aug 2019
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General & Family Physician 's  Response
Hello,

The symptoms seem to be related to contact dermatitis.

I suggest using Cetirizine.

I also suggest using Hydrocortisone cream for local application.

If the petechiae do not get better, I suggest consulting your doctor about prescription steroids.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dorina Gurabardhi, General & Family Physician
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Do Petechiae Cause Tissue Or Vascular Damage?

Hello, The symptoms seem to be related to contact dermatitis. I suggest using Cetirizine. I also suggest using Hydrocortisone cream for local application. If the petechiae do not get better, I suggest consulting your doctor about prescription steroids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician