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The lesions are most frequent on the lower limbs, but may occur anywhere on the body, including the hands, arms, torso and even the neck. They may vary in number and erupt in mass numbers. They consist of irregular patches of orange or brown pigmentation with characteristic "cayenne pepper" spots appearing within and at the edge of old lesions.
Livedo reticularis is a common skin finding consisting of a mottled reticulated vascular pattern that appears as a lace-like purplish discoloration of the skin. [1] The discoloration is caused by reduction in blood flow through the arterioles that supply the cutaneous capillaries, resulting in deoxygenated blood showing as blue discoloration ().
Reticulated, interlacing, hyperpigmented patches with a few, scattered, erythematous macules at junctions on the medial aspects of the lower legs. Different types of heat sources can cause this condition such as: Repeated application of hot water bottles, heating blankets, or heat pads to treat chronic pain—e.g., chronic back pain. [4]
Livedoid vasculopathy (LV) is an uncommon thrombotic dermal vasculopathy that is characterized by excruciating, recurrent ulcers on the lower limbs. [4] Livedo racemosa, along with painful ulceration in the distal regions of the lower extremities, is the characteristic clinical appearance.
The symptoms give the disease its name. The first signs of infection that can be seen are yellow and brown spots that develop on the living needles, [7] [8] which soon turn red. This infection starts on the base of the crown on older needles, which then turn a brownish red at the tip, while the rest of the needle remains green. [9]
In advanced lipodermatosclerosis the proximal leg swells from chronic venous obstruction and the lower leg shrinks from chronic ulceration and fat necrosis resulting in the inverted coke bottle appearance of the lower leg. [7] Lipodermatosclerosis is most commonly diagnosed in middle-aged women. [3]
Fat deposits/swelling in legs and arms not in hands or feet; hands and feet may be affected as the disease progresses. Fat deposits / swelling widespread in legs/arms/torso: Fat deposits/swelling in one limb including hands and feet: Fat deposits widespread Swelling near ankles; brownish discoloration of lower legs (hemosiderin deposits).
The Mongolian spot is a congenital developmental condition exclusively involving the skin. The blue colour is caused by melanocytes , melanin -containing cells, that are deep under the skin. [ 6 ] Usually, as multiple spots or one large patch, it covers one or more of the lumbosacral area (lower back ), the buttocks , sides, and shoulders . [ 6 ]
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