Anyone develop brown pigmentation over a couple weeks on their feet?

Posted by ericy210 @ericy210, May 6 7:17pm

My feet are white as a ghost yet have developed brown pigmentation of the tops of my feet, toes, and lower ankle. I noticed about two weeks ago and now they burn. I’ve tried all the obvious things and my doctor called it a “mystery.” I’m off to a specialist.

I’ve read it could be autoimmune issues. Does anyone know about such a condition?

I’m a long Covid guy and been part of university and NIH clinical long Covid programs for over two years. Lots of testing. Lots of lingering random stuff, like hiccuping nonstop for weeks, which was attributed to inflammation from autoimmune cytokine storms. Not fun.

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

@ericy210 This something I’ve not heard of, but that doesn’t mean anything. You’ve read that it could be an autoimmune condition—did the reading say anymore about pigmentation? Have you asked those operating the long covid programs?
I did some research and didn’t come up with anything specific, but I thought you might check the Infectious Disease Support group and the Skin Health Support Group.
Did the doctor give you any idea of what they think it might be?

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@becsbuddy

@ericy210 This something I’ve not heard of, but that doesn’t mean anything. You’ve read that it could be an autoimmune condition—did the reading say anymore about pigmentation? Have you asked those operating the long covid programs?
I did some research and didn’t come up with anything specific, but I thought you might check the Infectious Disease Support group and the Skin Health Support Group.
Did the doctor give you any idea of what they think it might be?

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Thank you. Yes, autoimmune can trigger the spontaneous pigmentation, which is includes minor blood vessel bursts.
I see my long Covid neurologist in about three weeks and do a battery of tests at UIC in July.
I had a full CBC done but all looked good. More intensive blood work done within the programs shows cytokine imbalance, which makes for weird inflammation, unfiltered anger, difficulty speaking etc. I’ll check those groups out. Here’s one of the sites
https://www.aad.org/public/diseases/coronavirus/covid-toes#:~:text=of%20rough%20skin.-,COVID%20toes%3A%20One%20or%20more%20toes%20may%20swell%20and%20turn,cream%20to%20the%20affected%20area.

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@mkempson42

Similar to this?...

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Here’s my ugly feed and all the pigments.
Here’s the doctors notes:

ASSESSMENT/PLAN:
1. Pigmented Purpuric Dermatosis (Schamberg's vs. Majocchis vs. Other)- discussed diagnosis, prognosis, etiology, and treatment with patient. There are no cures to this condition. The lesion may resolve spontaneously or become more numerous. Treatment with the over the counter herbal supplement rutoside has been shown to help. The patient should follow up if the lesions become itchy, painful, or ulcerative. Pt to treat with topical triamcinolone cream as below

Requested Prescriptions

Signed Prescriptions
Disp
Refills

triamcinolone 0.1 % External Cream
60 g
2

Sig: Apply bid to aa on feet bid x 3 weeks, take one week off then rpt as needed

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@ericy210

Here’s my ugly feed and all the pigments.
Here’s the doctors notes:

ASSESSMENT/PLAN:
1. Pigmented Purpuric Dermatosis (Schamberg's vs. Majocchis vs. Other)- discussed diagnosis, prognosis, etiology, and treatment with patient. There are no cures to this condition. The lesion may resolve spontaneously or become more numerous. Treatment with the over the counter herbal supplement rutoside has been shown to help. The patient should follow up if the lesions become itchy, painful, or ulcerative. Pt to treat with topical triamcinolone cream as below

Requested Prescriptions

Signed Prescriptions
Disp
Refills

triamcinolone 0.1 % External Cream
60 g
2

Sig: Apply bid to aa on feet bid x 3 weeks, take one week off then rpt as needed

Jump to this post

Yes mine is very similar. I have some on the ankle area also. Did you happen to have petchaie first that turned into the discoloration? That's how mine started out.

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It's not painful nor does it itch...it's just there. And it is petchaie and not a rash. Does not blanch when pressed.

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@mkempson42

Yes mine is very similar. I have some on the ankle area also. Did you happen to have petchaie first that turned into the discoloration? That's how mine started out.

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There was a tiny amount of petchaie. It was more tiny capillary bursts from inflammation with brown pigmentation spreading.

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@mkempson42

It's not painful nor does it itch...it's just there. And it is petchaie and not a rash. Does not blanch when pressed.

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Looks a bit like mine without as much brown pigmentation.

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@ericy210

Looks a bit like mine without as much brown pigmentation.

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I went into heart failure 10 years ago at the age of 34 and after my hospilization I was dx with venous insufficiency and it took about a year to regulate my medications and find what worked best for me which was spironolactone and lisinopril hdtz and did well for a number of years up until I went off the medications and had a hard time finding a physician to put me back on them. But during that time only my right calf and ankle would swell and was when I developed the pigmentation on my feet and ankles.

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@mkempson42

I went into heart failure 10 years ago at the age of 34 and after my hospilization I was dx with venous insufficiency and it took about a year to regulate my medications and find what worked best for me which was spironolactone and lisinopril hdtz and did well for a number of years up until I went off the medications and had a hard time finding a physician to put me back on them. But during that time only my right calf and ankle would swell and was when I developed the pigmentation on my feet and ankles.

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I would say it looks just like yours in my opinion. The picture you commented on was the stage prior to.

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