What Causes Round Lesion With Rough Surface And Mild Crust On Lower Leg?

Posted on Mon, 21 Sep 2015

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

Mon, 21 Sep 2015 Answered on

Wed, 7 Oct 2015 Last reviewed on

Question : Hi there. I have a rough, scab like patch of skin on the lower part of my right leg about two inches above my ankle. It is no larger than .25 inches (perhaps smaller) and is slightly raised. I noticed it done time ago (at least a month, if not more) and I recently realized that it was still there. I have attached the best possible pictures (with and without flash) I could get of it. I appreciate your help.

Answered by Dr. Ilyas Patel (3 hours later)

Brief Answer:
Eczematous dermatitis most probably

Detailed Answer:
Hi,

You seem to have eczematous dermatitis most probably. You have small round lesion with rough surface and mild crust. You might have mild or severe itching. The lesion might remain for long time without treatment. There may be some cause. It may be some contact allergen...like house dust mite,soap,cloths,color,grass..etc..

You consult dermatologist to have firm diagnosis and treatment. However, I would like to suggest as below..

- short course of steroid in tappering dose
- local application of tacrolimus oint 0.03%
- antihistaminics
- avoid contact of suspected allergen

I hope this would help you...

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Sonia Raina