Understanding Raised Red and Purple Bumps on the Lower Legs
A 39-year-old female with Ehlers-Danlos syndrome (EDS) and small fiber neuropathy is experiencing the presence of raised red and purple bumps on her legs. Two of these bumps have been noted for a duration of 12 to 18 months, while a smaller bump has emerged in the past 6 to 12 months. What could these bumps signify? Pressing on them causes them to lose color momentarily, which I believe is referred to as blanching. The texture feels rough upon contact. It strikes me as peculiar that these bumps are localized solely on my lower legs. I appreciate any insights or advice regarding this situation!
Answers (1)
6/25/2025, 10:10:36 PM
OpenHealth AI
It sounds like you're experiencing raised red and purple bumps on your lower legs, which can be concerning. Given your background of Ehlers-Danlos syndrome (EDS) and small fiber neuropathy, these symptoms could have several potential explanations. Let's break this down into manageable components.
Main Points:
- Possible Causes: The bumps could be related to vascular issues (due to EDS), inflammatory conditions, or dermatitis.
- Blanching Effect: The fact that the bumps lose color temporarily when pressed (blanching) may indicate they are vascular in nature.
- Location and Duration: The localization and duration of these bumps are important for understanding their significance.
Explanation:
- Ehlers-Danlos Syndrome (EDS) can lead to vascular and skin issues, including bruising and the potential for abnormal blood vessels under the skin, which may appear as red or purple bumps.
- Small Fiber Neuropathy might contribute to unusual skin reactions or sensations in the affected areas.
- The texture and color changes when pressed suggest that these bumps are likely related to blood vessels and may not be fully inflammatory or infectious in nature.
Next Steps:
- Monitor Changes: Keep a close eye on these bumps for any changes in size, color, or new symptoms such as pain or swelling. Note if they change with weather or activity.
- Skin Care: Ensure your skin is well-moisturized and avoid any potential irritants. Gentle skin care can help minimize any further irritation.
- Protect your skin: Given your EDS, be cautious about anything that may lead to injury or further fragility of the skin.
- Document Symptoms: Consider keeping a log of your symptoms, including the appearance, duration, and any associated sensations (like itching or pain) to share with a healthcare provider for better insight.
If you notice any alarming symptoms such as significant swelling, pain, fever, or new widespread rashes, consider seeking medical advice for further evaluation. Let me know if you need any more specific information or tips!
Related Questions
Unexplained Bruising and Intense Itching
Hello, I’m a 20-year-old female, standing at 5 feet 2 inches and weighing 135 pounds. Recently, I have been experiencing intense itching that has resulted in significant bruising on my skin. Currently, I’m on several medications including spironolactone (which I haven’t taken for the last two weeks), Effexor, Aimovig, Wegovy, and Linzess. I do not use tobacco or consume alcohol. Apart from experiencing a generally sluggish digestive system, I have no pre-existing health issues. However, my family medical history indicates occurrences of Multiple Sclerosis, Hashimoto’s disease, diabetes, and eczema. The itching has become severe, leading to large bruises forming on my body. I consulted a virtual urgent care service, which advised me to visit the emergency room to check for potential blood clots or internal bleeding. Upon arriving at the ER, I underwent various tests, and I noticed that my resting heart rate has been notably elevated between 120 and 140 beats per minute, though I am uncertain if this is a new development. Eventually, I was discharged without any conclusive information, except with the advice to refrain from scratching. I have shared images of the tests conducted during my visit.
Understanding Prednisone Usage and Withdrawal
A 38-year-old woman, measuring 5’10 and weighing 125 pounds, with no smoking or drinking habits and a background of autoimmune disease, encountered a viral infection in December. In response to her condition, a specialist recommended a tapering regimen starting with a 40mg dose of prednisone for five days, followed by a gradual reduction through 30mg, 20mg, and 10mg over a total period of 20 days. After completing the course and halting the medication, she experienced severe symptoms approximately 36 hours later, including intense vomiting, debilitating headaches, and widespread pain throughout her body. Any physical contact provoked discomfort, leaving her in distress. Unable to reach her original provider, she consulted another physician who prescribed a lower dosage of 4mg of prednisone, instructing her to decrease the amount by 1mg every three days. Remarkably, she felt relief upon returning to the 4mg dose. However, she expressed concern regarding the potential effects when she ultimately weans off the medication entirely. She is seeking guidance on whether this method of tapering is typical and which specialist might be best suited to manage her prednisone treatment moving forward.
Recurring Mysterious Rash Every Year, All Tests Negative
Hello everyone! I'm an 18-year-old female, and I don't consume alcohol, smoke, or engage in any recreational drug use. Around the middle of January last year, I noticed a gradual appearance of a rash across my body that escalated into a severe illness after approximately a week and a half of its onset. Currently, I find myself in a similar situation, suggesting that this might be a yearly recurring issue. At the moment, the rash isn't itchy, although I've recently had a mild sore throat. Thankfully, I don't have any other signs of illness right now. Last year, when I was unwell, it was an incredibly challenging experience; I felt extremely weak, had a runny nose, persistent cough, sore throat, and even experienced moments of confusion due to fever. The rash did become itchy once I fell ill. During last year's episode, I sought medical advice and underwent several tests while dealing with the rash. All results came back negative, including tests for mononucleosis. The only positive result was for a common cold. Having received vaccinations for measles, mumps, and rubella during my childhood (despite having had those diseases), I'm fairly certain this isn't related to any of them, and I believe I tested negative for those as well last year. Any insights or advice would be greatly appreciated! Thank you from a financially struggling college student!
Concerns About Abdominal Distension
Hello, I'm a 25-year-old female, weighing approximately 51 kilograms and standing at 155 centimeters tall. I have established allergies to Prospan and certain vitamins, which I actively avoid in my diet. My daily caloric intake is around 2250 kcal, and I supplement my nutrition with B complex vitamins, omega-3 fatty acids, and vitamins C and D. I do not have any identified food allergies that I know of. I maintain a workout regimen that spans four days each week, followed by a day of rest. However, I’ve noticed a consistent issue where my lower abdomen noticeably swells after each meal. To me, it resembles the growth associated with early to mid-pregnancy, and it seems to occur only in that specific area. This situation is worrying me, and I would greatly appreciate any advice you might be able to provide. I am contemplating visiting a gastroenterologist soon, but I thought I’d ask for perspectives here as well, just in case. Thank you for any insights you can share. Best, 'Not Pregnant, Just Full' girl
Persistent Swelling in Armpits for Over a Decade Without Discomfort
Hello everyone! I’ve been dealing with persistent swelling in my armpits for over ten years now. The swelling is more pronounced on the right side compared to the left. Interestingly, there is no pain associated with it, and both areas are soft to the touch. I don’t have any other health conditions that could be linked to this issue. Does anyone have insights on what might be causing this?