[65F] Experiencing spontaneous bruising on hands and arms

Patient Description

A 65-year-old female presents with a concern of spontaneous dark purple bruising on the tops of her hands and arms without any associated injury. The patient denies any recent initiation of medications or supplements, and there is no reported unusual bleeding, blood in urine or stool, or symptoms of unusual tiredness or weakness. The patient's medical history includes back surgeries due to a faulty product, with the last surgery occurring in 2013. There are no known drug allergies, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Senile purpura: This is a common condition in older adults characterized by the development of dark purple bruises, particularly on the arms and hands. These bruises occur due to the thinning of the skin and blood vessels as a part of the natural aging process.

    • There is no specific treatment for senile purpura, but protecting your skin from minor injuries can help prevent bruises.
  • Blood clotting disorders: These are conditions that affect the blood's ability to clot, leading to easy bruising. However, these are usually accompanied by other symptoms such as prolonged bleeding from cuts, frequent nosebleeds, or blood in urine or stool, which you have not reported.

    • Treatment for blood clotting disorders depends on the specific condition and may involve medication to help the blood clot more effectively.
  • Medication side effects: Certain medications, such as blood thinners, can cause easy bruising. However, you have reported that you are not currently taking any medications.

Please note that this is not a comprehensive list and other conditions could also be responsible for your symptoms.

What you can do

Given the duration and persistence of your symptoms, it would be a good idea to consult with a healthcare professional. They can conduct a thorough examination and may order tests such as a complete blood count (CBC) or coagulation tests to help determine the cause of your bruising.

In the meantime, try to avoid activities that could lead to bruising. Use caution when moving around to avoid bumps and scrapes. Keeping your skin moisturized can also help keep it healthy and may reduce bruising.

What you should look out for

Please seek immediate medical attention if you notice:

  • Large or painful bruises
  • Bruising that occurs along with a suspected broken bone
  • Bruising that occurs along with swelling or tightness
  • Bruising for no known reason
  • Bruising that doesn't improve within two weeks
  • Unexplained bleeding from the nose, gums, or any other part of your body

Please remember that while I strive to provide accurate and helpful health information, I am an AI and not a doctor. Always consult with a healthcare professional for accurate information.

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1 yr ago

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People Also Ask


What is senile purpura and how is it treated?

Senile purpura is a common condition in older adults characterized by dark purple bruises on the skin, especially on the arms and hands, due to thinning skin and blood vessels. There is no specific treatment, but protecting the skin from minor injuries can help prevent bruises.


Could spontaneous bruising be a sign of a blood clotting disorder?

Spontaneous bruising can be a sign of a blood clotting disorder, which affects the blood's ability to clot properly. These disorders are usually accompanied by other symptoms like prolonged bleeding, frequent nosebleeds, or blood in urine or stool.


Are there any lifestyle changes that can help prevent bruising in older adults?

To help prevent bruising, older adults can avoid activities that may cause bumps or scrapes, use caution when moving around, and keep their skin moisturized to maintain its health.


When should I seek medical attention for unexplained bruising?

You should seek medical attention for unexplained bruising if you notice large or painful bruises, bruising with suspected broken bones, swelling or tightness, bruising for no known reason, bruising that doesn't improve within two weeks, or unexplained bleeding from any part of the body.


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