I Have A Mildly Elevated D-dimer(no Clotts). Lacy Pattern On

Posted on Mon, 22 Jul 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 22 Jul 2019 Answered on

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Question : I have a mildly elevated d-dimer(no clotts). lacy pattern on legs and trunk, and dermagraphsim. joint pain, muscle exahustion, can these be linked to the lacy pattern?

Answered by Dr. Bhanu Partap (10 hours later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After reviewing the the images attached by you I would like to tell you that d dimers are not associated with such skin presentation specially on trunk. If only lower limbs were involved then we could have thought of DVT which doesn’t seems like to be the current scenario.

It doesn’t look like dermatographism to me at least not from the image provided by you as it present with raised skin margins and is also temporary.

As you have joint pain with this skin presentation I would like to suggest you to kindly consult a Rheumatologist personally (better if you can consult someone from some medical college who are involved in research work and rare case exposures).

I hope this information will guide you properly.

Kind Regards

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

Follow up: Dr. Bhanu Partap (16 hours later)

sorry did not think to include pic of dermtographsim. it appears yhatbpart if your response might have been cut off?

Answered by Dr. Bhanu Partap (9 hours later)

Brief Answer:
Hello again

Detailed Answer:
No I don’t see that my previous reply has been cut off. kindly consult a rheumatologist personally if you haven’t done that yet for proper evaluation.

kind Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng