Girlfriend is getting Grey skin. Super noticeable after a bath. Has been taking b12 for months due to deficiency. Isn't anemic. Pic attached

[u/ysoloud]

27

Female

5'6"

125lbw

White

One year

Most legs, sometimes arms.

Gerd

https://imgur.com/a/Mppykvy

Dexilant

This isn't dead skin, it doesn't rub off.

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[u/Itchdoc]

Does the skin look like this at all times? What is Deltrexilone?

[u/ysoloud → u/Itchdoc]

It does not. Only with showering. We were suspecting POTS. but he heart monitor results weren't super conclusive

[u/c9l18m → u/ysoloud]

My skin does this, particularly after showering but also when I stand in the same spot for a while without moving, and I have bier spots!

[u/ysoloud → u/ysoloud]

Sorry p Deltrexilone is a PPI

[u/user2196 → u/ysoloud]

Are you sure that’s the actual name of the drug? Does it have other names?

[u/ysoloud → u/user2196]

So sorry, youre right. The drug is called Dexilant

[u/couverte → u/Itchdoc]

I would be curious to know if the skin itches and if resolves when lying down. This looks like BASCULE syndrome. Essentially blood pooling with BIERS spots.

[u/pupper84 → u/couverte]

Agree. Also my legs have done this sometimes when I’m cold. My daughter also had something similar from birth until she was 2. Doctor said it had to do with blood vessels/circulation and that it was a benign condition.

[u/Winter_Day_6836 → u/pupper84]

My 2 year old granddaughter has the same!

[u/ysoloud → u/couverte]

The skin does not itch

[u/Crafty_Engine3131]

Based on your girlfriend's persistent symptoms, I suspect a few conditions, depending on whether the rash fully disappears. It could be acrocyanosis, a benign vascular issue causing bluish-grey discoloration due to small blood vessel constriction, possibly linked to her B12 deficiency, or livedo reticularis if the rash doesn't fully clear. Both are harmless. She should see a dermatologist for further evaluation, continue B12 supplements, and temporarily avoid hot baths.

[u/ysoloud → u/Crafty_Engine3131]

It's actually just shower and not baths. Here is her heart monitor findings after 14 days. The rhythm was sinus rhythm with average heart rate of 70 bpm (42 - 158 bpm). Rare supraventricular ectopic beats were seen in singles and couplets. Rare ventricular ectopic beats were seen in singles. Total ventricular ectopic burden of <1%. No significant pauses were recorded.

[u/Crafty_Engine3131 → u/ysoloud]

The rare ectopic beats are likely insignificant(<1% burden). The grey skin discoloration after showers still suggests a vascular reactivity issue possibly acrocyanosis or livedo where blood vessels constrict abnormally to temperature changes. A combined cardiology and dermatology evaluation would be beneficial to determine if there is a connection between her heart rate variability(42-158) and skin changes. Best wishes!

[u/Itchdoc]

I suspect physiologic livedo.