4th Mar, 2022
Pak International Medical College Peshawar
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
golden brown colour suggestive of pigmented purpuric dermatosis
All replies (11)
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
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.
Dear Mostafa Elsersy, would you please add the history and dermatological examination findings?
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