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Suggest Treatment For Purple Splotchy Patch On The Calves

Posted on Wed, 18 Mar 2015

Question: Hey ok I am a 49 yr old male roughly 165 cm tall weigh about 125kg have not been to kind to my body in the past was once an intravenous drug user amphetamines have not touched a needle since 2010. Both of my legs from mid calf down to about 1cm before my toes are a reddish more purplish splotchy in colour with it getting more darker purple around ankle and the tops of my feet the colour seems to always be there and the also swell up and the top area of my feet gets quiet painfull?

Answered by Dr. Muhammad Ali Rauf (1 hour later)

Brief Answer:
Need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your symptom. I would be in a better position to guide you anything if you answer following questions please:

1. Please send a focused clear image of the lesion. Your current image is not clear.
2. Do you feel prominence of veins(blood vessels) if standing for a longer time?
3. Does your symptom aggravate while standing for longer time?
4. Do you feel itch over the area?
5. Is overlying skin hot?
6. Are you on any medication?
7. Do you have diabetes, hypertension or any other illness?
8. Do you have fever?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Muhammad Ali Rauf (1 hour later)

2. No. 3. Yes 4. Yes sometimes 5. Sometimes 6. No 7. No 8. No

Answered by Dr. Muhammad Ali Rauf (9 hours later)

Brief Answer:
Dermatitis with incompetency of leg veins

Detailed Answer:
Hello

Thank you for the answers. Your symptoms are suggesting dermatitis and at the same time it seems to be that there is incompetency of your leg veins resulting in pooling of blood(the reason why your symptoms aggravate after standing). I would suggest you to visit hospital and get an appointment for a general surgeon and radiologist for Bilateral Leg Venous Doppler study. This study will show the competency of leg veins. Results of report will help a surgeon to plan the followup treatment plan. Meanwhile you can take cetirizine one at night for itch.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

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