instruction: hello doctor I have a rash on my forearms about or days ago I noticed two dark reddish almost purple spots on my right forearm when I woke up I think they are under the skin not raised non itchy my skin is extremely dry and I neglect that so I started putting jergen ultra healing lotion I thought maybe I had scratched my arms while sleeping that is what it looked like but each day much smaller spots have appeared the only medication I take is my xanax twice a day for anxiety I was diagnosed with cirrhosis before three months and spent three days in the hospital I had a blood transfusion and treated for swelling in my feet and legs post hospital stay I was given two iron infusions since then I was supposed to follow up with a gastro and the hematologist for a blood draw recheck but with the coronavirus that has not been possible for me to go in so I do not know if this rash has anything to do with that but I would like to know what it is
output: hi sorry to hear about the problem you are having as you have cirrhosis and iron infusion I suspect there is some blood clotting defect which is very common in this condition these lesions are actually small hemorrhages or bleeding into the skin they do heal with time if the clotting defect is improved or no more new bleeding occur I hope you are not having dark colored stools or nose bleeds or blood in cough of vomiting or any small injury taking more time for the blood to stop if any of these condition persists you need to see an emergency service and get you your blood coagulation profile done skin is dry in your condition use emollients do not use harsh cleansing soaps use only mild ones that too on alternate days as you say new lesions are coming I am afraid you should get your coagulation profile done if it is normal use emollient like aloe vera on these they do subside gradually