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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Small Red Spots On The Legs And Thighs?

i have developed several red raised small spots on my legs- inner thighs, back of knees and now showing up on inner calves. After showering, the red spots seem to be circled with a white ring. 4-6 weeks ago I had a major reaction after a facial with similar spots on my chest area and large red areas under my eyes filled with fluid. Doctor gave me a topical cream which helped. My face recovered, but my chest area still has faint spots at times. I don t know if this new development is related or not. The spots on my legs are raised a bit, the others were not. They seem to start with a speck and grow. Should I seek a dermatologist or wait the 2 wks to go to my GP? My mother is now in hospice care (cancer) and I worry I may compromise her further with this should it be contagious. could it be stress related?
Fri, 21 Nov 2014
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Dermatologist 's  Response
Hello,
Thank you for posting on HCM.
The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues.
Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc.
As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases.
Hope this will help you in resolving your query.
Thank you
Dr Hardik Pitroda
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What Causes Small Red Spots On The Legs And Thighs?

Hello, Thank you for posting on HCM. The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query. Thank you Dr Hardik Pitroda