![]() ![]() It is most commonly associated with group A streptococcal infections, but can be triggered by a wide variety of infectious and noninfectious causes. It usually occurs on the anterior aspects of the lower legs (shins), but can occur anywhere. The lesion on her chin turned out to be cutaneous herpes simplex infection, an uncommon trigger for erythema nodosum (B), which is thought to be a delayed hypersensitivity reaction resulting in a panniculitis with a surrounding inflammatory reaction. Otherwise, her skin is clear, with no petechiae, other areas of bruising or other lesions seen, and the rest of her exam is normal. ![]() The patient also has an impetiginous lesion near her chin ( Figure 5), which further history revealed that she has had a sore in that location before, but cannot remember when. On examination, her vital signs are normal, and her skin exam reveals the apparent bruising described above ( Figures 1-4), with some underlying swelling. The bruises seem to be appearing almost exclusively on the extensor surfaces of her arms, but she also complains of some pain on her lateral, lower left leg, but no skin changes were noticed, and she has had no fever recently or any other systemic symptoms. The problem began as erythematous bumps that were somewhat painful and appeared to be progressive with more areas of spontaneous, firm swelling over the first week, followed by bruising. She denied any injury or recent illness, and she was taking no medications. If you continue to have this issue please contact to HealioĪ 13-year-old previously healthy female is seen by her primary for evaluation of some unexplained painful bruising of her upper extremities that began about 2 weeks earlier. Connect the dots between the symptoms of leukaemia and #SpotLeukaemia sooner.We were unable to process your request. Knowing what other symptoms are typical of leukaemia is crucial for helping you to make the decision to visit your GP sooner for a blood test. If your bruises occur frequently or are not disappearing, you should contact your doctor immediately. However, it is for this exact reason that leukaemia can be hard to spot, as the signs and symptoms are so easily confused for more common illnesses. In most cases, the cause will not be serious. If you notice that you are bruising easily or rashes appear on your body, there is no need for immediate concern. Some of you will be reaching this article because you’re googling about bruises as well as itchy skin – which can also be indicative of other things going on in your body. Feel like you’re pale and have more bruises?.‘Rashes’ on your body as well as bruising?.How about frequent nosebleeds which you struggle to control? Burst blood vessels in your eyes? A period that is far heavier than normal? You may be reading this article thinking you’ve been experiencing bruises but other unusual bleeding too. Bruises and other symptoms together can indicate other thingsīruising easily and bleeding? Well, that would make sense as bruising is excess bleeding – but just under the skin. We’re all used to having the odd bruise here or there, but if the number significantly increases in a short period of time, speak to a GP and make sure they’re aware that you are bruising easily. Normal bruising disappears in under a monthĪ typical bruise will last somebody two to four weeks so if you have bruises that are lingering beyond that, it’s probably worth getting checked over. In children, we’d classify it as unusual if there were bruises on their bum, face, ears, chest or their heads. However, if you spot bruises in more unusual places including your back, unexplained bruising on your legs and even on your hands, it might be a reason to seek medical support. ![]() You’ll be aware of the places you normally get a bruise – perhaps an arm where you’ve knocked yourself getting out of bed. ![]() Bruising is less common in unusual places However, because bruises from leukaemia are very similar in appearance to ordinary bruises, they can be too easily dismissed as harmless. Most of the time there is no reason to worry about bruising as it is the body’s natural response to injury. Bruising is commonīruising is defined as bleeding that occurs underneath the skin, causing black, blue or purple marks to visibly appear on the skin’s surface. Here are the five things you need to know about bruising right now. Do you feel like you’re bruising easily? Worried that your bruises are unexplained? When to worry about bruising in adults? ![]()
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