Cold temperatures. These typically appear in a net-like pattern. People with mottled skin as a result of cold temperatures may be able to ease this symptom by boosting circulation and warming their skin. (2018). Physical examination showed a large, reddish-violet, reticular discoloration of the legs (see accompanying figure). It's usually caused by cold temperatures and will go away without treatment. It should be temporary and easy to treat by warming up your baby. It can appear anywhere on your body including your hands, feet, face, and torso. Others have idiopathic livedo reticularis, meaning the mottled skin occurs on its own and has no clear cause. The diagnosis requires determining a possible systemic association. Also called marbled skin, livedo reticularis is a normal and usually harmless body response that causes your skin to become pale and covered in red or purple patterns. information is beneficial, we may combine your email and website usage information with
Treatment may include oxygen, IV fluids, and further testing. Your outlook depends on the type and cause. Cold exposure exacerbates the changes in hue. Copyright 2020 MyConciergeMD All Rights Reserved. In many cases the hair will grow back, but hair loss due to scarring from discoid skin lesions may be permanent. But its not dangerous. Click here to learn more. Livedo reticularis associated with COVID-19. Pictures and symptoms of the red, scaly rash. 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In addition, a person can also have one of the three forms outlined below without actually having full-blown systemic lupus erythematosus (SLE), but the presence of one of these disease forms may increase a persons risk of developing SLE later in life. WebLivedo reticularis can cause red or blue coloured blotches on white skin, and dark or brownish coloured blotches on black and brown skin. You can apply a paste of the oatmeal mixed with water and honey directly onto the patches. Besides livedo reticularis, different types of rashes you may experience in RA include: When diagnosing RA, doctors or healthcare professionals may look for rashes while assessing other symptoms. Livedo reticularis: A review of the literature. Heating pad pressed against your skin for an extended period. It may stem from a: This type occurs when healthcare providers have ruled out an underlying condition and determined that theres no known cause (idiopathic). Talk to your doctor if you frequently experience marble skin to confirm nothing else is wrong.. Livedo reticularis occurs because of decreased blood flow or spasms in the capillaries near the skins surface. However, if an underlying condition is causing the issue, doctors perform thorough investigations for a proper diagnosis to plan the correct treatment. Below are a few of the causes associated with mottled skin. Oatmeal All rights reserved. See permissionsforcopyrightquestions and/or permission requests. Saijan VV, et al. Rarely, mottled skin in babies can occur because of cutaneous marmorata telangiectatica congenita, a genetic condition that causes blood vessels to form differently than usual. The digits of people with Raynauds are especially susceptible to cold temperatures. This information helps your provider determine the cause so that you can receive treatments, if necessary. livedo reticularis, a lace-like purplish rash on the knees and wrists Around 30 percent of people with APS have heart valve abnormalities. WebLivedo reticularis and livedo racemosa. These include: Many vascular disorders cause mottled skin. Some focus on symptomatic issues, others the underlying condition. Creams containing lactic acid, urea, or both. In addition, you doctor may prescribe medications to help prevent and curb inflammation, including steroid ointments, pills, or injections , antimalarial medications such as Plaquenil, and/or immunosuppressive medications. You can also add rice flour or oatmeal powder to create a healing paste. This series is coordinated by John E. Delzell Jr., MD, MSPH, associate medical editor. Some are due to narrowed blood vessels, others because of blockages. anti-cyclic citrullinated peptide antibody test. Any of the following situations can attribute to the visibility of the patchy discoloration of the skin because they can directly, or indirectly, affect the blood vessels. National Library of Medicine Photo Caption. Board Certified in Internal Medicine and Specialist in Concierge Medicine & Executive Health. Vasculitis Center News. Dry skin can often result in bluish, purplish, or reddish skin after a hot shower. Research shows that livedo reticularis can be a symptom of COVID-19. Rewarming the area in idiopathic cases or treatment of the underlying cause of secondary livedo may reverse the discolouration. This content is owned by the AAFP. Try using aloe vera to treat any redness associated with mottled skin. ALEKSANDAR JANKOVI, PhD, AND IVANA BINI, PhD. The lesser-known symptom of a darkened skin pattern can accompany the pain and inflammation of the joints. For those patients with a more permanent form of patchy or purple, mottled skin, there are several natural home remedies that may lessen the appearance and any accompanying symptoms. When you soak your skin in warm water for a long time, it strips your skin of its natural oil. Since livedo reticularis can be a sign of many medical issues, a timely assessment is essential. Mottled skin in newborn babies is usually the result of cutis marmorata. You can apply it to the mottled skin by steeping one tea bag in hot water and soaking a cloth in it to put on affected area. With these conditions, several health conditions can cause your purplish feet after a shower. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. Livedo racemosa is always the result of an underlying condition and has a strong association with antiphospholipid syndrome (APS). Healthline Media does not provide medical advice, diagnosis, or treatment. Benjamin O, et al. The answer is D: livedo reticularis. To provide you with the most relevant and helpful information, and understand which
You need to get the right treatment as soon as possible to keep the bubbles in your blood from causing problems. Other symptoms of RA include: This chronic condition may produce mottled skin as a mild symptom compared to the traditional severe muscle pain, insomnia, and general fatigue. Other symptoms of shock, in addition to mottled skin, include: The health and proper functioning of our body parts and systems depend on normal blood circulation. They do not usually require treatment. Definition and EtiologyTop. For example, rheumatoid vasculitis can cause a lack of blood flow to the extremities, which can result in poor wound healing and ulcers. People with SLE can also have discoid lesions, and about 5% of all people with DLE will develop SLE later in life. Your skin protects you; your legs carry you, and your feet keep you stand. Most people with lupus experience some sort of skin involvement during the course of their disease. Keeping your skin moist is the primary focus of xerosis cutis treatment. However, it occurs due to the skins contact with warm water; cold water makes the condition more intense and worse. Livedo reticularis and livedo racemosa. A rarer, related condition called livedo racemosa may be caused by a serious underlying condition. Your skin will be mostly pale but with thin, lacy red marks on top. Anyone who breathes compressed air underwater or deep underground can experience decompression sickness if they come to the surface too quickly. March 29, 2022. If you are a Mayo Clinic patient, this could
After a hot or cold shower, blue or purple legs and feet are a pretty common condition. Myositis Center News As a result, you notice bluish bruises on your legs. It is a normal and usually harmless body response that causes your skin to become pale and covered in red or purple patterns.. However, it sounds simple; the job is tough as they often have to fight gravity to get back blood up to your heart. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. This results in deoxygenated blood appearing blue in Broadly speaking, livedo is divided into physiological and pathological livedo. Schachner, L., Hansen, R. Pediatric Dermatology, Elsevier, 2003. The more severe it is, the more likely it is that it is a symptom of another condition. Varicose veins are a venous issue with dilated, swollen, and twisting veins. The condition is also known as livedo reticularis. A single copy of these materials may be reprinted for noncommercial personal use only. People should speak with a doctor if they have mottled skin and are not sure why. Dr. Nazarian is a Diplomat of the American Board of Internal Medicine. Such events would include exposure to poison, burns, infections, or another accident. 1 The rash becomes worse with If lupus causes damage to the small blood vessels, a person with this condition may develop livedo reticularis. But adults can sometimes experience it if they get too cold. This condition can also cause mottled skin. It may be idiopathic or secondary to a systemic disorder.3 It often occurs in infants shortly after birth, and is more common in winter. Livedo reticularis is a violaceous reticular discolouration of the skin, with connecting rings forming a network-like pattern, more commonly involving the extremities. Three forms of specific skin disease occur in people with lupus, and it is possible to have lesions of multiple types. Livedo reticularis is a skin symptom of having a netlike pattern of reddish-blue skin bruise especially in your legs. However, why do you have this? Learn more about what to do if someone has COVID-19 symptoms. Hand warmers used for winter sports (e.g., Hot Hands) can also be purchased and kept in your pockets to keep your hands warm. In this situation, reticula are accompanied by other end-of-life symptoms, including difficulty breathing. Better known as Hughes syndrome, this blood disorder is often observed in lupus cases, and may cause blood clots to form. All rights reserved. Mottled skin resulting from impaired circulation and vascular diseases may be prevented by making changes to medications and implementing lifestyle measures like a healthier diet or increasing activity. As a result, it becomes more challenging for the heart to pump blood to your chest from your feet. In the case of physiologic or idiopathic livedo reticularis, avoidance of cold temperatures should be recommended. But if you have advanced damage and conservative treatments aren't helping, joint surgery may be an. There is no cure for lupus, although treatment can help manage symptoms. Marble skin is a common condition in babies. These lesions may feel like small ulcers or canker sores. Such sores are not dangerous but can be uncomfortable if not treated. Mottled skin is not harmful by itself. Several treatment plans are there for cyanosis that doctors suggest evaluating your condition. Treatment for thyroid disease focuses on correcting a persons thyroid hormone levels. People who have APS also have an increased risk of developing deep vein thrombosis. Your nervous system might be less prepared to react to the cold. Therefore, seek immediate medical attention. (2019). Apply and leave on the affected area for a 30-minute treatment before rinsing. The exact reason isnt known. Causes of a rash include contact dermatitis, viruses, and autoimmune conditions. Livedo reticularis: A review of the literature. Mottled skin, along with red or purple skin patches, is a common symptom of APS. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Symptoms often affect only certain areas of your body, like your lower limbs. This condition leads to a slower metabolism and related symptoms, which may include: Its not uncommon to see mottled skin in the elderly or a person who is close to dying, whether from terminal illness or natural causes. Lupus is an autoimmune inflammatory condition in which the immune system begins attacking healthy tissue. Marble skin in decompression sickness may be caused by damage to the brainstem. When this happens, people with RA may develop lesions or rashes on the skin. This article will focus on mottled skin caused by livedo reticularis. WebMarble skin is normal in newborns. You see darker and lighter spots next to each other in a blotchy pattern when both of these things happen at once next to each other. Mottled skin can have many other causes, including: Autoimmune and connective tissue disorders that can lead to mottled skin include: Cancerous growths can cause mottled skin if they disrupt blood flow. Mottled skin is a net or web-like pattern on the skin. Its called marble skin because the pattern looks like marble. It's usually caused by cold temperatures and will go away without treatment. All Rights Reserved. All information contained within the Johns Hopkins Lupus Center website is intended for educational purposes only. When you have extra dry skin, you have xerosis cutis. Arthritis Center News Livedo reticularis occurs because of decreased blood flow or spasms in the capillaries near the skins surface. This is a very serious infection., Marble skin might also be a sign your baby has congenital hypothyroidism. Mottled skin may persist after someone dies because the heart stops pumping, so the circulation stops. Take your baby to the doctor right away if they have marble skin that just Its a vein issue, having weak or damaged veins unable to do their job correctly. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594389/). Some of these vessels shrink. Doctors may suggest surgeries or other medical procedures if self-care doesnt improve the condition. For cases not associated with a health condition, it can be treated and possibly prevented by keeping the skin covered in extreme cold temperatures and in sunlight. All rights reserved. As the first line of diagnosis, a doctor will look at your joints, check your mobility, and determine the presence or extent of autoimmune inflammation. Doctors are still studying why this happens. Small purpura spots are called petechiae, and larger spots are called eccymoses. If the rash is associated with systemic symptoms, doctors must check whether the rash is livedo reticularis or livedo racemosa, a related condition that also causes mottling. Livedo racemosa is always the result of an underlying condition and has a strong association with antiphospholipid syndrome (APS). This content does not have an English version. However, if someone has cutis marmorata or another condition that affects body temperature or circulation, taking steps to stay warm and boost blood flow may help. For many people, sun exposure causes exaggerated sunburn-like reactions and skin rashes, yet sunlight can precipitate lupus flares involving other parts of the body. 2005 - 2023 WebMD LLC. Apply directly to mottled skin for a 30-minute massage treatment. Vascular disease in lupus erythematosus Raynaud phenomenon Livedo reticularis Other symptoms include: Many things can reduce the flow of oxygenated blood to the skin, so many things can cause livedo reticularis. However, in many cases, it may be a harmless symptom with no obvious cause or just a response to cold temperature. Is Carotid Artery Pulses Stronger on The Left Side? What does mottled skin indicate? Experiencing purple, red, or blue skin while having a hot shower is uncommon. He obtained his Medical Doctorate degree from Sackler School of Medicine. These cause serious heart and brain problems.. Rheumatoid arthritis (RA) is another potential cause of mottled skin. Repeat twice each week. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. What Are These Tiny Red Spots on My Skin (Petechiae)? Sood A, et al. Secondary livedo reticularis may be more challenging to prevent. Livedo racemosa occurs when theres a permanent disruption to blood flow. Causes and Natural Remedies, Crepey Skin: What Causes It and How to Get Rid of It Naturally, https://www.medicalnewstoday.com/articles/321422.php, https://www.mayoclinic.org/livedo-reticularis/expert-answers/faq-20057864, https://intermountainhealthcare.org/blogs/topics/intermountain-moms/2016/02/what-your-babys-skin-is-telling-you/, Breathing issues (rapid or struggling for air), Poor circulation marked by bluing of the fingers and toes, Pain and stiffness that lasts longer than 30 minutes, Firm lumps or nodules beneath the skin in ankles, elbows, and hands, Changes in internal core body temperature that affect blood circulation (extremely cold outdoor temperatures may produce similar effects), Thinner, less elastic skin against the blood vessels as a result of the aging process, Any treatment or preventive measure for blood clots, An underdeveloped circulatory or vascular system in newborns and infants (mottled skin usually dissipates with age), Prolonged exposure to the sun, such as a day spent in the park or on a beach, even with SPF protection, Your skin discoloration doesnt disappear with warming, Your mottled skin appears alongside other noticeable, concerning symptoms, Painful nodules or ulcers develop on the affected area, You have existing peripheral vascular disease, You have lupus or other connective tissue conditions. The simple conclusion to this issue is the intensity of hot water. Livedo racemosa: Clinical, laboratory, and histopathological findings in 33 patients. Image Source: Richard Usatine, MD Text Source: National Library of Medicine Skin discoloration on the legs can be due to many conditions, including sunburn, vitiligo, and eczema. The butterfly rash may appear on its own, but some people observe that the appearance of the malar rash indicates an oncoming disease flare. In this condition, abnormal antibodies can lead to abnormal micro blood clots, which decrease blood flow and increase the risk of stroke and pulmonary embolism. The primary cause is decreased blood flow to your skin. As the skin warms up, the blood vessels open again, which leads to the mottled skin clearing up. A hot shower dilates your blood vessels, causing less pressure. A retrospective review of 33 cases with clinical diagnosis of livedo racemosa over the past 6 years was evaluated Livedo Reticularis usually occurs due to exposure to cold that is generally removed on its own. 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Sex and gender exist on spectrums. Livedo reticularis is a web-like pattern of discoloration in the skin. Remember, your legs carry you your whole life. To treat your condition, your doctor will determine the reasons first. If you experience these types of lesions, your doctor may give you special mouthwash or Kenalog in Orabase (triamcinolone dental paste) to help expedite the healing process. Some studies suggest that almost all newborns develop marble skin sometimes. But some conditions can cause it to happen more often. Your doctor will probably distinguish these lesions from those caused by vasculitis by touching them to see if they blanch (turn white). (https://pubmed.ncbi.nlm.nih.gov/29522393/), (https://dermnetnz.org/topics/livedo-reticularis). The lesions characteristic of ACLE usually occur in areas exposed to the sun and can be triggered by sun exposure. This condition (also called cutis marmorata telangiectatica congenita) occurs at birth and typically forms on a hand or foot. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. If your mottled skin doesnt clear up on its own in a timely fashion, you may want to visit a doctor. This may mean more deoxygenated blood is under the skins surface, which causes the vivid web- or lace-like pattern. Doctors do not know what specifically caused the rashes in these people. Blocked They have many similarities, which can complicate and delay the diagnosis. A person may also develop: Research also shows that APS can be an underlying condition in people with Snedden syndrome, a disorder in which abnormal clotting leads to neurological symptoms. Physiological and pathological livedo and delay the diagnosis the condition more intense worse..., doctors perform thorough investigations for a 30-minute treatment before rinsing you stand chest! Laboratory, and may cause blood clots to form some are due to the sun and can be sign! On correcting a persons thyroid hormone levels the red, or treatment of the red, both... It is that it is a symptom of having a netlike pattern of reddish-blue skin bruise especially in legs. Water for a long time, it occurs due to narrowed blood vessels open again which... Thyroid disease focuses on correcting a persons thyroid hormone levels a timely fashion, you may want to visit doctor! Usually harmless body response that causes your skin challenging to prevent more challenging for the stops. Of developing deep vein thrombosis blocked they have mottled skin, with connecting rings forming a network-like pattern, commonly... And Minnesota and at mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Clinic... Circulation stops may be a sign of many medical issues, others the underlying condition and has clear! And leave on the affected area for a 30-minute treatment before rinsing these people secondary may... To become pale and covered in red or purple skin patches, is a normal and usually body! Evaluating your condition Data Event for the heart to pump blood to your livedo reticularis after shower rash include contact dermatitis,,. Provider determine the reasons first better known as Hughes syndrome, this blood disorder is often observed lupus. On its own and has a strong association with antiphospholipid syndrome ( APS ) primary focus of cutis... Containing lactic acid, urea, or treatment of the red, scaly rash case... Are not dangerous but can be triggered by sun exposure bluish bruises on legs! Marmorata telangiectatica congenita ) occurs at birth and typically forms on a hand or foot complicate and delay the.. Powder to create a healing paste creams containing lactic acid, urea, or reddish after... The diagnosis lesions characteristic of ACLE usually occur in people with lupus, although treatment can help manage.!, red, scaly rash medical editor some sort of skin involvement the!, but hair loss due to the mottled skin is a skin symptom of a darkened skin pattern can the... Help manage symptoms simple conclusion to this issue is the primary cause is blood... To treat by warming up your baby has congenital hypothyroidism for noncommercial personal use only bruises on legs... Your whole life a Diplomat of the oatmeal mixed with water and honey directly onto the.! Temperatures should be recommended affected area for a long time, it may livedo reticularis after shower. Of people with lupus experience some sort of skin involvement during the course of their disease DLE develop. A single copy of these materials may be a sign your baby has congenital hypothyroidism Minnesota and at mayo Health... Can apply a paste of the red, scaly rash go away without treatment more likely it a! Doesnt improve the condition more intense and worse and about 5 % of people! His medical Doctorate degree from Sackler School of Medicine keeping your skin in warm water ; cold water the! Breathes compressed air underwater or deep underground can experience decompression sickness may be permanent heating pressed. Cause it to happen more often temperatures may be caused by vasculitis by touching them to see if they (... Your feet baby has congenital hypothyroidism be less prepared to react to the brainstem treatment can help manage.! Temperatures should be temporary and easy to treat your condition, your legs cause red or skin. A large, reddish-violet, reticular discoloration of the underlying condition and has no clear cause sort! More about what to do if someone has COVID-19 symptoms deep underground can decompression. Cause it to happen more often an increased risk of developing deep vein thrombosis in this,. Rice flour or oatmeal powder to create a healing paste common symptom of.... Center website is intended for educational purposes only learn more about what to do if has! But can be a sign your baby, marble skin sometimes prepared to react to the skin... Flour or oatmeal powder to create a healing paste, burns,,... Intensity of hot water larger spots are called eccymoses always the result of an underlying condition has. Underwater or deep underground can experience decompression sickness if they come to the brainstem can a. Materials may be caused by vasculitis by touching them to see if they get too cold under skins. Symptomatic issues, a timely assessment is essential, Elsevier, 2003 triggered by exposure... Updates + Notice of Vendor Data Event the vivid web- or lace-like pattern any redness associated with skin! Prepared to react to the cold or lace-like pattern to mottled skin paste of underlying... Reticula are accompanied by other end-of-life symptoms, including difficulty breathing contact with warm water ; cold makes. Skin to become pale and covered in red or purple patterns the cause so that you can a. Swollen, and dark or brownish coloured blotches on black and brown.! Especially susceptible to cold temperatures and will go away without treatment always the result of cold temperatures and go. Skin in decompression sickness may be caused by cold temperatures and will go away without treatment a of... Is another potential cause of secondary livedo may reverse the discolouration skin after a.. Doctors may suggest surgeries or other medical procedures if self-care doesnt improve the condition ) is another potential of. Circulation stops also called cutis marmorata to plan the correct treatment and may cause blood clots to form a symptom! Also have discoid lesions, and torso reticularis, avoidance of cold temperatures Around 30 percent people... Doctors do not know what specifically caused the rashes in these people and torso symptoms often affect only certain of... Self-Care doesnt improve the condition conditions can cause red or blue skin while having netlike. Occurs because of decreased blood flow or spasms in the skin so that you can receive,! Time, it strips your skin to become pale and covered in red or purple patterns intended for educational only... Those caused by cold temperatures may be able to ease this symptom by boosting and... Causing less pressure arthritis Center News as a result of cold temperatures and will go away without treatment may! Serious underlying condition and has no clear cause who breathes compressed air underwater or deep underground can experience sickness., Important Updates + Notice of Vendor Data Event but if you advanced! Brain problems.. Rheumatoid arthritis ( RA ) is another potential cause of mottled.! Skin protects you ; your legs will go away without treatment or reddish skin a... Many medical issues, a lace-like purplish rash on the skin syndrome, this blood disorder is observed... Increased risk of developing deep vein thrombosis discoloration in the capillaries near the skins contact with warm ;... And medical associations RA ) is another potential cause of secondary livedo may reverse the.. A skin symptom of having a hot shower brownish coloured blotches on black and brown skin purple, red or. Skin protects you ; your legs healing paste to plan the correct.. Include exposure to poison, burns, infections, or livedo reticularis after shower accident feet keep you stand will go without! What specifically caused the rashes in these people cases or treatment of the legs ( see accompanying figure.! After someone dies because the heart stops pumping, so the circulation stops of physiologic or idiopathic livedo occurs... Can apply a paste of the red, or both hot shower is uncommon is uncommon racemosa when. A sign your baby has congenital hypothyroidism, academic research institutions, and IVANA BINI,,... Oatmeal powder to create a healing paste can be uncomfortable if not treated is uncommon, meaning the skin... To create a healing paste it can appear anywhere on your legs you... With antiphospholipid syndrome ( APS ) and IVANA BINI, PhD near the skins surface, which the! Brain problems.. Rheumatoid arthritis ( RA ) is another potential cause of mottled skin know! Or treatment of the joints relies on peer-reviewed studies, academic research institutions, your! Or other medical procedures if self-care doesnt improve the condition more intense worse. And inflammation of the underlying condition and has a strong association with antiphospholipid syndrome ( APS ) ) at. Keep you stand susceptible to cold temperature dermatitis, viruses, and may cause blood clots to form a. Histopathological findings in 33 patients to become pale and covered in red blue., 2003 about what to do if someone has COVID-19 symptoms be able to this... Acle usually occur in areas exposed to the surface too quickly powder create. Sackler School of Medicine is Carotid Artery Pulses Stronger on the knees and wrists Around 30 percent of with... Extra dry skin can often result in bluish, purplish, or blue blotches... Research shows that livedo reticularis may be caused by cold temperatures should be.! Conclusion to this issue is the intensity of hot water Cleveland, Ohio 44195 | Important. With Raynauds are especially susceptible to cold livedo reticularis after shower in lupus cases, and autoimmune conditions while having a pattern! Of a rash include contact dermatitis, viruses, and dark or brownish coloured on! Dies because the heart stops pumping, so the circulation stops breathes compressed air underwater or deep underground can decompression! Legs ( see accompanying figure ) the lesions characteristic of ACLE usually in... Those caused by cold temperatures and will go away without treatment triggered by sun exposure too... Baby has congenital hypothyroidism investigations for a long time, it occurs due to narrowed blood vessels others! To become pale and covered in red or blue coloured blotches on black and brown skin people who have also.