<s>[INST] i have a disease named schumberg, in which below knees and specially on foot.. i have red brown spots juss like pepper scattered. Can you please suggest what should be done? [/INST] Hi!, Welcome To Chat Doctor forum, Scambergs DS is a benign condition where you get reddish to black pepper like spots around the ankles. It is because of breakage of very fine blood capillaries ... usually seen in those who are heavy wt or lift heavy was.or even those who play football...or who usually have to stand for long hours in their work place. You can apply retinoid cream (0.05%) locally on the spot .use two pillows under the leg while sleeping...this would prevent any further development of varicose vein, where one gets swelling of veins of calf muscles. Try to avoid standing for long duration. Take care, Chat Doctor.  </s>