Easy bruising, petechiae and ecchymoses

EBM Guidelines
Sep 16, 2020 • Latest change May 14, 2019
Eira Poikonen

Table of contents

Extract

  • Everybody has occasional bruising after minor trauma or even without a noticed trauma at all. There is large inter-individual variation in sensitivity. Solitary bruises, even without a noticed trauma, are usually harmless and do not necessarily require further laboratory investigations.
  • Keep in mind that purpura can be caused by meningococcaemia or other severe infection (often febrile patient in poor general condition) and in such a case arrange for immediate further treatment.
  • Other causes to be investigated and treated include medications, autoimmune diseases and increased bleeding tendency.

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Search terms

D65, D69*, E54, Ecchymosis, Ehlers-Danlos syndrome, Haematology, Hematoma, Hemorrhage, Hemorrhagic Disorders, Internal medicine, Osler's disease, Purpura, Purpura, Schoenlein-Henoch, Purpura, Thrombocytopenic, R23.3, SSRIs, Serotonin Uptake Inhibitors, T00.9, Thrombocytopenia, bruise, bruising, hereditary haemorrhagic telangiectasis, osteogenesis imperfecta, petechia, pseudoxanthoma elasticum