Discussion
Started 19th Jan, 2019

How would you describe these lesions in terms of the color?

Would you describe it as brown? And if so does this mean that purpura preceded this color? And what could be the differential diagnosis of this color?

Most recent answer

4th Mar, 2022
Shahida Naz
Pak International Medical College Peshawar
golden brown colour suggestive of pigmented purpuric dermatosis

All replies (11)

19th Jan, 2019
Lázaro Roque Pérez
Hospital Arnaldo Milian
ocher color
1 Recommendation
20th Jan, 2019
Luís Arthur Brasil Gadelha Farias
Hospital São José de Doenças Infecciosas
It's always difficult to analyse isolate images and better to the physician if you see the patient directly.
This lesions remember me scleroderma, but would be interesting after correct inspection you feel the skin through palpation.
It looks like the salt and pepper skin common in scleroderma. The following article published in new england journal of medicine reveal a similar finding. But be carefully, It is importante to evaluate this findings with the laboratory and patients' anamnesis.
Another important differential diagnosis would be the relationship with peripheral arteriovenous insufficiency which can cause a very similar findings.
Cicatricial findings due other types of dermatitis may also be a possibility.
Hope i could help,
Best regards,
1 Recommendation
22nd Jan, 2019
Juha-Matti Alakoskela
Private practice
I would just say brown or brownish pigmentation. Considering the very likely pitting oedema (the legs look swollen); the most likely cause is stasis-related pigmentation. Of course there likely has been some extravasation of RBCs so that would classify as purpura, although not related to vasculitides or any purpuric dermatoses.
22nd Jan, 2019
Dina Nasser
Alexandria Faculty of Medicine
Brownish discouluration, may be one of purpric dermatosis or lichen aureus
22nd Jan, 2019
Manal Fawzy
Zagazig University
Pigmented purpuric dermatosis as differential diagnosis
22nd Jan, 2019
Mostafa Elsersy
Alexandria University
Dr. Juha-Matti Alakoskela , why not Pigmented purpuric dermatosis ?
22nd Jan, 2019
Mostafa Elsersy
Alexandria University
Dr.Dina, and Dr. Manal, any reference for this differential diagnosis that I can check?
28th Oct, 2021
Harasit Kumar Paul
Bangabandhu Sheikh Mujib Medical University
Dear Mostafa Elsersy, would you please add the history and dermatological examination findings?
1 Recommendation
4th Mar, 2022
Shahida Naz
Pak International Medical College Peshawar
golden brown colour suggestive of pigmented purpuric dermatosis

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