Capillaritis, also known as pigmented purpuric dermatosis, is a common skin condition characterized by inflammation of the small blood vessels in the skin. It can result in small red or purple spots primarily on the lower legs. Although it is usually harmless and disappears on its own, it can be a source of discomfort.

Symptoms

  • Small red or purple spots comprised of many tiny red dots, resembling cayenne pepper, especially noticeable on the lower legs.
  • The spots may itch or be painful, but usually are not.
  • The skin around the spots can appear normal or slightly swollen.

Causes

  • The exact cause of capillaritis is unknown, but it is associated with:
    • Exposure to irritants such as certain types of shoe polish.
    • Prolonged standing or sitting.
    • Excessive exposure to sunlight.
    • Injuries to the skin, such as scratching.

Diagnosis

  • Diagnosis is usually made based on the appearance of the skin spots.

Treatment

  • Capillaritis generally does not require specific treatment and disappears on its own within a few weeks to months.
    • Avoid irritants or allergens.
    • Use mild, moisturizing skin products.
    • Protect the skin from excessive sun exposure.
    • Avoid scratching or rubbing the affected areas.

Self-Care Tips

  • Keep the skin clean and hydrated.
  • Avoid prolonged standing or sitting in the same position.

Miscellaneous

  • Contact a doctor if symptoms worsen or persist for a long time, or if you are concerned about the spots on your skin.
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