As suggested by others, probably not in origin a skin problem but poor blood circulation, which can be due to various factors besides the heart. Both liver and kidneys are said to exert some control over the heart. (The kidneys can be a cause of excessively high blood pressure; if, say, the red blood cells are in poor condition and too rigid to deform easily to pass through the narrow tubules; the heart will receive chemical-messengers telling it to up the pressure. I had similar symptoms to what you describe; which eventually led to virtually incurable and debilitatingly painful ankle ulcers. I also had very LOW blood pressure. Doctors, local hospitals, and a major hospital in Chiang Mai were useless. In the end I went to a hospital in Bangkok that stated it had vein surgeons. The cause they discovered, using specialised ultra-sound equipment, was shortage of blood returning to the heart because the two major veins in each leg had dilated in places from about 5 mm diameter to 10 mm diameter. The valves were not closing. After outpatient operations under local anaesthetic to insert silicone tubing over the veins (I assume the tubing, or 'stent', is slit along its length) blood pressure became normal, and the ulcers almost immediately ceased gushing lymph to the extent my feet had sometimes squelched in the footwear. If your blood-pressure is normal, I guess this is not your problem. Physical exercise, exposure to sunshine, positive emotions, and a healthy varied diet (not industrialised or over-processed) are building-blocks of good health. P.S. According to a Dr Macousi writing some years ago, in the U.S. more high-blood pressure patients die from low-blood pressure than from high-pressure. Explanation: when they run out of their drugs they go to the doctor for more, and in many cases he prescribes them without checking whether pressure has fallen to normal.
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