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.
Itchy skin at night can also be caused by a disease such as Hodgkinâs lymphoma. A third of patients who suffer from Hodgkinâs lymphoma suffer from chronic itchy skin even before they are diagnosed with the condition. There can also be swelling of the ankles for someone with Hodgkinâs disease as an early sign.