<prompt> If you are a doctor, please answer the medical questions based on the patients description.this morning we left for vacation at 2 am about that time my dad said his ankle was hurting we got to our beach house at 12:30 pm and both of my dads feet we swollen and looked bruised and had little red dots and we feverish and the little red dots were just a little ways up past his ankle on his leg as well. My dad is 59 he has lupus and had a three heart attacks as well can you tell me what might have cause this this has never happened before and it happened within a matter of hours today  <response>: HI ! Thank you for your query. Dear madam, Looking into your problem swelling over feet can be due to multiple causes. Since he suffers from cardiac problems it can be due to that also but presence of red little dots are suspicious, it can be vasculitis due to lupus. You need to consult a rheumatologist to get your father assessed for disease activity of lupus, with special concern for lupus nephritis. Routine blood tests like CBC, Urine RM, S. albumin, ESR, CRP etc. needs to be done for attributing the problems to lupus. It is an urgent situation and I suggest you to seek medical help at earliest. Hope it answers your query. Wish you good health. 