a recognition that genres are situated within discourse communities, wherein the beliefs and naming practices of members have relevance an emphasis on communicative purpose and social action an interest in generic structure (and its rationale)
Because of the potential implication of circulation disorders, darkened skin around the ankles that is not immediately explainable by simple environmental factors should be promptly called to the attention of a medical doctor for appropriate diagnosis and treatment.
Chronic athlete's foot can cause an increased pigmentation to the bottom of the foot. It is associated with dry scaling skin and may have a reddish appearance. Venous Stasis. Generalized increased pigmentation occurs for a variety of other reasons. Dark patches of skin occur about the ankles and lower legs in persons who suffer from Venous Stasis. Venous stasis is caused by an accumulation of fluid in the lower extremities. This is due to poor venous return of blood to the heart. Venous blood flow back to the heart occurs by way of the veins in the feet and legs.