Pigmented Purpuric Dermatosis

Conveniently located to serve the areas of Westlake, OH

Pigmented Purpuric Dermatosis Westlake, OH

Pigmented purpuric dermatosis (PPD) is a group of skin conditions characterized by reddish-brown skin discoloration due to leaking capillaries. These conditions present with distinct clinical features, including non-blanching red or brown patches, often on the legs, ankles, and feet. While typically benign, they can cause cosmetic concern or discomfort for affected individuals. Understanding the nuances of each subtype is crucial for accurate diagnosis and tailored management.

Dr. David Naar at Premier Vein Clinic in Westlake specializes in the treatment of varicose veins and other vascular issues including PPD, offering expertise in identifying and addressing these specific conditions. Through a comprehensive evaluation, Dr. Naar develops personalized treatment plans that can improve the skin’s appearance and alleviate symptoms.

For more information about receiving treatment at Premier Vein Clinic, call (440) 641-0433 or fill out our helpful online contact form.

About PPD

PPD is a rare group of skin conditions that can present challenges for individuals due to their noticeable appearai of nce and potential impact on self-esteem. They are characterized by discoloration of the skin caused by small blood vessels leaking into the skin layers, leading to red or purple spots. In some cases, these lesions may be itchy. While not a serious medical issue, PPD can be concerning for those affected.

Purpuric skin conditions are characterized by: (1)

  • Red or Purple Macules: Small flat areas of discolored skin (less than 1cm in diameter).
  • Patches: Small flat areas of discolored skin (more than 1cm in diameter).
  • Petechiae: Tiny red, brown, or purple spots on the skin.

Although PPD’s etiology is unknown, the following factors play a role in its presence: (2)

  • Venous hypertension
  • Fragile capillaries
  • Physical activity
  • Certain medications (e.g. analgesics like aspirin)

It is also linked to certain systemic diseases, including: (2)

  • Diabetes mellitus
  • Lupus
  • Rheumatoid arthritis
  • Thyroid dysfunction
  • Hyperlipidemia

Diagnosing PPD usually involves a physical examination and a review of the patient’s medical history. In some cases, physicians may perform a skin biopsy to confirm the diagnosis and rule out other skin conditions with similar symptoms.

What is Venous Hypertension?

Venous Hypertension, also known as high blood pressure in the veins, is a condition that affects the proper circulation of blood, particularly in the legs. This can lead to various issues such as chronic venous insufficiency, varicose veins, venous ulcers, and deep vein thrombosis.

Types of Pigmented Purpuric Dermatosis

Schamberg Disease

Schamberg disease is a benign and chronic condition that manifests as reddish-brown patches on the lower extremities, typically appearing in a cayenne pepper-like pattern. (3) These eruptions are usually asymptomatic but can sometimes be accompanied by mild itching or tenderness. The progression of the disease can lead to a gradual spread of the discolored areas over time, affecting the legs predominantly.

Purpura Annularis Telangiectodes of Majocchi

Also known as Majocchi’s disease, this rare condition manifests as reddish-brown skin lesions, often in an annular pattern, giving rise to its name. The presence of vascular abnormalities leads to the development of pigmented purpuric patches on the skin. It is more common in young women and children. (4)

Lichen Aureus 

The hallmark symptom of lichen aureus is the development of small, round to oval-shaped lesions with a striking reddish-gold hue. (1) These patches may be asymptomatic for some patients, while others may experience mild itching or tenderness in the affected areas.

Eczematoid-like Purpura of Doucas & Kapetanakis 

Eczematoid-like purpura of Doucas & Kapetanakis is characterized by a unique combination of features that manifest primarily on the skin. This condition presents with eczema-like lesions, purpuric rash, and inflammatory changes on the skin surface, which may be itchy. (1)

Pigmented Purpuric Lichenoid Dermatitis of Gougerot & Blum

Commonly known as Gougerot-Blum syndrome, this condition also goes by various other names like lichenoid purpura, dermatitis of Gougerot and Blum, pigmented purpuric eruption, or benign pigmented purpura. It presents mostly in men as an inflammatory skin condition with distinctive oval purplish discoloration patches. (1)

Disseminated Pruriginous Angiodermatitis

Also known as itching purpura, this is a challenging condition that leads to symptoms like intense itching and inflammation. Manifesting acutely on the legs of mostly middle-aged men, (1) the condition can significantly impact an individual’s quality of life, causing discomfort and self-consciousness. 

Granulomatous Pigmented Purpura

Characterized by red-brown macules, papules, and plaques, granulomatous pigmented purpura involves skin inflammation that results in the development of vascular lesions. These lesions may appear as small dots or patches on the skin, often resembling bruises but without any history of trauma. This condition is more common in people of Asian descent. (1)

Personal Consultation

Individuals seeking treatment for pigmented purpuric dermatosis should consider consulting with an experienced vascular surgeon like Dr. Naar. Patients with concerns about vein-related skin issues can benefit from a comprehensive evaluation to determine the most suitable treatment options tailored to their unique needs. Dr. Naar can provide expert guidance on managing pigmented purpuric dermatosis and improving the appearance and health of the skin affected by these conditions.

Book your consultation with Dr. Naar by getting in touch via our web form or by calling (440) 641-0433.

Treatment for Pigmented Purpuric Dermatosis

At Premier Vein Clinic, Dr. Naar employs a comprehensive approach to diagnosing and treating pigmented purpuric dermatosis, tailoring treatment plans to each patient’s specific condition. He may recommend a skin biopsy to confirm the effectiveness of the treatment and guide future management strategies. Management may include topical corticosteroid treatments, systemic medications like rutoside or ascorbic acid, or compression therapy to address the underlying vascular issues and improve the appearance of the skin. (1)

Dr. Naar encourages his patients to adhere to the prescribed treatment plan meticulously to achieve optimal results. Follow-up appointments with Dr. Naar are crucial for tracking progress and adjusting the treatment regimen as needed.

What is Compression Therapy?

One treatment modality for PPD is compression therapy. Compression therapy promotes healthy blood flow, reducing the risk of circulatory issues and enhancing oxygen delivery to tissues. It does so with the use of pressure from elasticated compression garments, which a patient wears for a prescribed period. Compression therapy also reduces the likelihood of blood clot formation, particularly crucial for individuals at risk of deep vein thrombosis.


Pigmented Purpuric Dermatosis Westlake, OH

Ultimately, successful treatment of pigmented purpuric dermatosis can result in improved skin health, reduced inflammation, and a more even skin tone. Dr. Naar aims to provide comprehensive care to address the complexities associated with this condition, ensuring that patients experience enhanced confidence and well-being. 

Cost of Pigmented Purpuric Dermatosis Treatment in Westlake

If you are experiencing symptoms of pigmented purpuric dermatosis, schedule a consultation with Dr. Naar to explore personalized treatment options for your condition. Use our inquiry form or call (440) 641-0433 to book your one-on-one meeting with Dr. Naar at Premier Vein Clinic.


What causes pigmented purpuric dermatosis?

The exact cause of pigmented purpuric dermatosis is not fully understood. However, it is believed to be related to abnormalities in the small blood vessels in the skin, which may become inflamed or leaky, leading to the characteristic discoloration. Factors such as genetics, immune system dysfunction, infections, or allergic reactions may play a role in triggering this condition.

Is pigmented purpuric dermatosis a health risk?

While pigmented purpuric dermatosis can be concerning due to its appearance, it is generally harmless and does not pose any significant health risks.

Is there a cure for pigmented purpuric dermatosis?

While there is no definitive cure for this condition, various interventions can help reduce redness, itching, and skin discoloration.

What if my pigmented purpuric dermatosis is getting worse?

In cases where symptoms persist or worsen, patients should consult with a physician specializing in vascular conditions. A thorough evaluation can help determine the most appropriate treatment plan tailored to individual needs. It is essential to address any concerns regarding skin changes promptly to ensure optimal skin health and overall well-being.

What is the treatment for pigmented purpuric dermatosis?

Pigmented purpuric dermatosis, though not widely known, requires specialized care tailored to each individual’s unique condition. While some patients may benefit from conservative measures focusing on managing symptoms, others may necessitate more intensive interventions targeting the underlying causes. 

Is pigmented purpuric dermatosis common?

No. Where present, the condition is more prevalent in middle-aged adults but can occur at any age. Many patients seek treatment for cosmetic reasons or due to discomfort caused by skin itchiness.

What are compression stockings used for?

Compression stockings are designed to improve circulation by applying gentle pressure to the legs. They can help manage various venous conditions and are particularly helpful for individuals who sit or stand for prolonged periods.


  1. Tolaymat L, Hall MR. Pigmented Purpuric Dermatitis. PubMed. Published 2023. https://www.ncbi.nlm.nih.gov/books/NBK519562/ 
  2. Spigariolo CB, Giacalone S, Nazzaro G. Pigmented Purpuric Dermatoses: A Complete Narrative Review. Journal of Clinical Medicine. 2021;10(11):2283. doi:https://doi.org/10.3390/jcm10112283
  3. Zaldivar Fujigaki JL, Anjum F. Schamberg Disease. PubMed. Published 2022. https://www.ncbi.nlm.nih.gov/books/NBK560532/ 
  4. Garcez AS, Rego VRP de A, Silva TS. Purpura annularis telangiectodes of Majocchi. Anais Brasileiros de Dermatologia. 2020;95(5):664-666. doi:https://doi.org/10.1016/j.abd.2020.02.007