A 74-year-old male with itching red dots on BLE from ankle to mid-leg. Dots coincide with where sock ends. The patient indicates that he suspects certain socks as the cause. The start of a rash occurred 6 months ago. The patient advised to stop wearing high socks. Rash appears only on leg. Foot and above sock line are spared. What would you advise?

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?? Pigmented Purpuric Dermatosis ???  Papular Purpuric Gloves & Socks Syndrome
? Exercise-Induced Vasculitis or Golfer's Leg Rash This vasculitis is simply an irritation of the blood vessels following prolonged exercise in the heat, such as walking for extended periods or playing 18 holes of golf. Aging blood vessels are likely a factor, as it happens more often in people over the age of 50. There are no established treatment or prevention recommendations. The leg rash will generally go away by itself in three to 10 days. Still investigate to rule out other causes of Vasculitis.
Allergic reactions May be due tightness or Allergic to socks fabric. Wear loose and soft cotton socks. Wash area with soda bi carb solution. Rehydrate area with moisturizer or emollient lotion locally. If not responding than investigate further.
Thanks Dr shivraj Agarwal
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At this age having erythematous rash usually need work up like coagulation profile Ana profile and complete hemogram .there is also chances of shocks allergy and due to climate changes need to evaluate the patient
Irritants contact dermititis Socks are contributing Texture and yarn of socks is possible cause D/peripheral vasculopathy should be r/o Rx lobate-s oint twice daily Tab Levocetrizine5mg 1bd Sos oral steroids
Thanx dr Ashok Leel
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Impression Allergy to socks Thrombocytopenia causing petechiae Venous stasis caused by perforator incompetence Kindly do complete blood count Venous colour Doppler
ATOPIC DERMATITIS STOP WEARING TERRICOTT SOCKS ANTIALLERGIC REGIMEN
? VASCULOPATHY.. ? PURPURA ANULARIS.. ? GOLFER'S PURPURA..
SUGGESTIVE OF ATOPIC ALLERGIC CONTACT VASCULITIS
Agree to@Dr. Jayesh Kalbhande
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