Red/Purple skin discolorations on arm

On my wrist and forearm I have dark reddish/purple lesions that are visable at all times. These spots and/or lesions do not itch or hurt ever. Which is why I have ruled out that it is a rash. I have had this condition for about 2 years now, and it does not seem to be getting any better. It is light and temperature sensitive, and I have received laser treatment in the passed. However, as you can see the laser treatment had little to no effect at all. If any one has any advice/relations/and or suggestions please let me know!!!!!!!!!!!!!!!!!!!!!!! IT IS VERY ANNOYING TO HAVE! THANK YOU.

[Bhupinder Kaur, MD]

Hello,
From the picture and symptoms, it is important to rule out conditions like vasculitis ( inflammation of the blood vessels), hypoxia, coagulation disorders and serious disorders of the hematopoietic system. What exactly it is can be confirmed only after an examination and investigations like blood tests, clotting and bleeding profile and skin biopsy. A dermatologist’s evaluation will be the best because without examination, confirmation of a diagnosis is tough.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.