Help Please: What are these Brown Spots on Skin?

Here are my ugly feet with brown burning pigmentation. Saw a follow up specialist. Said it’s linked to Covid and long Covid. It’s an autoimmune response like the thrush on my tongue that won’t get cured. Here’s her report on my feet.

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

The pigment is likely iron residue from subtle bleeding
under the skin. It is usually permanent. Hope the cream
will stabilize progression.

SAME…ALL OF THE ABOVE! I had a friend suggest I have a “beauty mark” looked at…had been there for years…SURE ENOUGH!!! CARCINOMA! Went through MOHS 2x to get all affected layers…not a big deal. Now I see my Dermatologist every 6mos and she burns off anything that even looks ugly for me!!!
I Love Her!!! She’s absolutely the best and Thank God for Her Daily!
Sending Luv & Prayers!!!🤞🍀🙏🏻☮️

Are there different varieties of Pupura?

I get these bruises all the time from minimal friction or impact. These are on the back of my hand and they showed up after I opened a box. .

Yes- see my discharge below

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

Do your doctors call this ecze ma? Does itching accompany the spots? Esther

I have been on prednisone for 3 1/2 years and this year began having thin skin and bright and dark red bruises (purpura I think) from the slightest bump on my arms and hands. I just finished a canister of collagen peptides and the bruises are all gone and I am not getting anymore. The collagen I took is Native Path brand. They make several formulas the one I took is labeled Collagen Peptide. I took one scoop per day in a cup of coffee. My facial skin also seems smoother and looks somewhat younger (at age 77). There was no taste that I could tell. They make another formula for bones and I am going to take that now to help my shoulder replacement heal.

That's wonderful. If you have been on Prednisone for that long it could be a good idea to look into a bone density test. I hope it will be good news. There are so many bad effects Prednisone it's worth staying informed. So I now believe in peptides. I'm thankful you replied.

Thank you for your reply. I had a recent dexa scan and it said all was normal but my endocrinologist said she does not believe the test result! I tried one bone med, teriparatide, but I kept fainting. She is relentlessly pushing me to get on another bone med but the side effects are scary.

Has your dematologist biopsied any of these spots? If not, demand he do so.