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Ask Dr.Sumanth Your Own Question
Dr.Sumanth, Doctor (MD)
Category: Medical
Satisfied Customers: 19336
Experience:  Consultant Pediatrician at Kanchi Kamakoti CHILDS Trust Hospital
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Question for Dr Sumanth

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Customer: replied 6 days ago.
My son is 10. Two days ago he was wearing shorts at a concert with plastic chairs. Afterwards he said his legs were itchy. He has tiny red pinprick dots on both lower legs. He had scratched one of his legs due to the itchiness but I don't think he scratched both.They won't show up in a photo. Not itchy or raised. Not spreading 48 hours later. No other symptoms.Should we be worried about a clotting issue? He has had this before. He seems to have easily broken capillaries.
Customer: replied 6 days ago.
Did you seemy reply?

The image just got downloaed and I am seeing it

Customer: replied 6 days ago.
They don't show up well.
Customer: replied 6 days ago.
i am worried about leukemia or ITP but is that irrational? I am 100 per cent sure it's not meningitis

  1. When he was young, during the vaccination shots, was there any prolonged bleeding or hematoma formation that you remember?
  2. Is this the first time you are observing this spontaneous bruising or has it been a recurrent phenomenon?
  3. Is there any family history of bleeding disorder?
  4. Is there any local pain or local tenderness or heat?
  5. Has there been any fever?
  6. Is there any itching in the area?

I have sent you some questions
Customer: replied 6 days ago.
No to most questions.
There was some itching when this began but not now.
This is the 4th time in 6 months but it is never spontaneous, there is always a trigger. And it never spreads.
Customer: replied 6 days ago.
I think it started as a heat reaction this time but then he scratched and caused these petechiae.
Customer: replied 6 days ago.
The other times were also from scratching or rubbing or banging and were never spontaneous. We discussed each at the time and you said there was no cause for concern

Hi...thank you for the information.

Glad to assure you that this nothing serious and is called purpura simplex and can occur like this due to pressure or without any reason too.

Does not look like a bleeding disorder or cancer.

If it is cancer it would not present with purpura like this but with fever and other constitutional symptoms like weight loss or lymphadenopathy.

Customer: replied 6 days ago.
Thank you for your reply.
I worry as he has now had this 4 times in 6 months and not before. Does it not point to anything worrisome?
Customer: replied 6 days ago.
Are you able to reassure?
No please nothing to worry at all. Be rest assured.
Customer: replied 6 days ago.
a clotting disorder or leukemia would look different?I am worried as recurrent petechiae seem to be a red flag and this is new for him.
No recurrent petechiae without any constitutional symptoms are not to concerning.
Customer: replied 6 days ago.
it wouldn't be an early sign of leukemia prior to other symptoms?

No please, fever and weightloss and loss of appetite would be the first.

Customer: replied 5 days ago.
Can you check this picture?
Is it still okay?
Why would he keep getting these petechiae?

Yes it looks like non specific and simple.

Customer: replied 5 days ago.
Caused by?
And when will it go?
does he need medicine?

I feel it might be the pressure from the contact of the chairs.

Customer: replied 5 days ago.
isn't it weird that he would be so sensitive to that?and how long will it last?

Usually 2 to 10 days.

It is not weird and some people have it commonly.

Customer: replied 5 days ago.
Okay. Thank you.
As long as it is nothing serious.
Does he need medicine?

No medicines are needed and it is self limiting.

Dr.Sumanth and 2 other Medical Specialists are ready to help you
Customer: replied 5 days ago.
Thank you for your time and patience.

You are most welcome.

Customer: replied 4 days ago.
Sorry. Can you please check these pictures? Last night we were standing still for 2 hours and he rubbed the sides of his legs with his shoes. Now he has this. Still no worries?I should add we are abroad in a hotter climate than usual. Can this cause capillaries to break more easily?
Customer: replied 4 days ago.
other side

Seen them and does not look like - cancer.

Looks like dependant induced petechiae.

Customer: replied 4 days ago.
What does that mean?

No it mean if he stands in same position this can develop.

Customer: replied 4 days ago.
it happened after rubbing his foot up and down on his leg. so a trauma.
but why is it happening so much? due to hotter weather?

No it might be purpura simplex as I had suggested above.

Customer: replied 3 days ago.
definitely not any serious though?

No nothing serious.

Customer: replied 3 days ago.
Thank you.

You are welcome.