Persistent Unchanging Bruise-like Rash for Over Nine Months
Gender: Female, Age: 28 Weight: 158 lbs, Height: 5'4" Current Medications: Vyvanse, Pristiq, Trazodone, and Ozempic (the latter introduced later for weight management). All other medications were initiated prior to the appearance of the rash. Medical History: ADHD, anxiety, depression, and chronic back pain. For the past nine months, I have been noticing a mark on the back of my leg that has remained exactly the same since it first emerged. It does not cause any discomfort, itching, or pain, and there is no elevation to the skin. The mark is localized to a single spot.
Answers (1)
7/23/2025, 7:50:35 AM
OpenHealth AI
A persistent, unchanging rash or mark that has remained stable for over nine months and does not cause discomfort is generally less concerning than one that changes or causes symptoms. In your case, it's important to assess what you seek from addressing this mark—whether it's reassurance about its harmlessness or guidance on possible causes.
1. Explanation: The mark on your leg might be a benign condition, such as a pigmentation disorder, a dermatological condition like a lentigo (often referred to as sunspots), or even a vascular condition. Given that it has not changed and does not cause any discomfort, most conditions that could cause such symptoms might be harmless. It’s also possible it could relate to a medication, but since your current medications were started before the appearance of the mark, this is less likely.
2. Next Steps:
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Monitor the Mark:
- Keep an eye on the mark for any changes such as swelling, color changes, or new symptoms (like itching or pain). This will help determine if it's stable over time.
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Document Symptoms:
- Maintain a simple diary about the mark: when it was first noticed, any noticeable changes, and how it interacts with factors such as sun exposure or other skin conditions.
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Skin Care:
- Practice good skin care around the area to prevent irritation: gentle cleansing and moisturizing are beneficial.
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Seek Professional Advice if Necessary:
- If you notice any changes or if you start experiencing discomfort or additional symptoms, consider consulting a healthcare provider for a thorough evaluation. This healthcare provider can assess the mark directly and may perform tests if necessary.
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Discuss with a Dermatologist:
- If anxiety remains about the mark, or if it doesn't improve, you might consider scheduling a visit to a dermatologist for peace of mind.
These steps prioritize monitoring your current situation and ensuring your overall wellbeing. Let me know if there's anything more specific you'd like to explore!
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