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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Red Round Sores On The Legs While On Warfarin?

I have had several small red round sores on my legs for a few weeks. I an on warfarin, but my numbers are very stable. I have good hygiene. I shave my legs. They are about the size of a cig burn, and are ever so slightly raised. The skin on some of them feels normal, but on the more dark large ones, the skin seems waxy/scaly. Some of them have faded, but a few are stubbornly not fading/healing. They seem a little itchy when I wear jeans or get warm. I at the same time have developed some flaking sores on my scalp. They itch, and occasionally a milky white scab falls off. The sores appear to be the same color from the one I can see. I just thought it was folliculitis. But it s been hanging around too long. I am a 47 year old male. I am just barely over weight, and eat a healthy diet and exercise daily.
Fri, 27 Dec 2019
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General Surgeon 's  Response
Hello,

* As the platelet numbers and probably PT / INR number is stable, the cause of skin lesions at various body places with narrated description indicates possible fungal or contagious viral infection of dermis or epidermis likely.

* Proper care must be exercised to care at the best level for

- keeping parts clean with antiseptic liquid or soap
- must remain dry at those areas
- avoid excess sun exposure, tight jeans
- local application of dusting powder as miconazole or else
- systemic antibiotics as penicillin, antifungal medications as fluconazole, ketoconazole or else as per the choice of clinician
- maintenance of hydration, high protein diet
- control of blood sugar.

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

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Causes Red Round Sores On The Legs While On Warfarin?

Hello, * As the platelet numbers and probably PT / INR number is stable, the cause of skin lesions at various body places with narrated description indicates possible fungal or contagious viral infection of dermis or epidermis likely. * Proper care must be exercised to care at the best level for - keeping parts clean with antiseptic liquid or soap - must remain dry at those areas - avoid excess sun exposure, tight jeans - local application of dusting powder as miconazole or else - systemic antibiotics as penicillin, antifungal medications as fluconazole, ketoconazole or else as per the choice of clinician - maintenance of hydration, high protein diet - control of blood sugar. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon