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Red elbows

The outsides of both of my elbows are always deep, shocking red and have been for about 4 years.  The skin is not dry, not itchy, doesn't hurt, nor is it a rash.  It looks as though I've been leaning on my elbows on a hard surface, but I don't do that.  This is simply an appearance problem.  The areas are both approximately 2" x 3".  The elbows are red enough that complete strangers ask me if I burned or injured them.  No doctor I've seen have an answer.  I can't be sure, but I think it started about the same time I began taking hypertension prescriptions (currently take 4 different ones) and Effexor.  During this same time I have been taking Tamoxifen (for the 1st 2.5 years) and now take Arimidex following breast cancer.  Neither radiation now chemo were necessary, so they are not the cause.
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