What is the difference between purpura and ecchymosis




















Petechiae are very small spots on your skin that can be purple, red, or brown. Like purpura, petechiae look more like a rash and are usually the result of medication or an underlying condition. Ecchymosis usually heals on its own within two to three weeks. The injury that caused the bruise may take longer to heal, especially if it involves broken bones.

Bruising is normal and impossible to avoid, but there are things you can do to lower your risk. These tips are especially important if you have a condition that makes you more likely to bruise:. Ecchymosis usually heals on its own within a few weeks. You may have an underlying condition that needs treatment. A low platelet count, or thrombocytopenia, can range from mild to severe, depending on the cause. Some people may experience severe bleeding, while…. Damage to blood vessels can cause bruising and blood clots, but the two conditions have many differences.

Learn more about them. Bruises are common and usually disappear with time. Here are 10 easy treatments to lessen the pain and reduce the visibility. Learn about how to get…. Learn about the symptoms, causes, and treatment of bone bruises. Here are 16 of the best sunscreens on the market in spray, lotion, and solid forms, and for different needs.

They're tried and true. Blue lips are most often caused when something is preventing you from getting enough oxygen into your body. Read on to discover some of the causes of…. Health Conditions Discover Plan Connect.

Understanding Ecchymosis. Medically reviewed by Daniel Murrell, M. Purpura and Ecchymosis are terms indicating spontaneous bleeding under the skin surface.

They do not have a traumatic cause. Purpura is a smaller lesion as compared to Ecchymosis. Blood that leaks from broken microvasculature collects under the skin in patches of various sizes. Both these lesions are more visible in children and the elderly who have fragile microvasculature. Various conditions can cause bleeding in the skin leading to either purpura or ecchymosis.

Let us understand what causes these skin lesions and how do they differ from one another. The word Purpura has originated from the Latin language meaning red or purple. So Purpura refers to small reddish purple discolorations on the skin that do not blanch when external pressure is applied over them. They occur due to vitamin C deficiency or may be secondary to inflammatory disease of the blood vessels vasculitis.

The discolorations are usually small measuring anywhere between 3mm to 10 mm and have more distinct borders.

Purpura can be due to a variety of causes. Platelet disorders, coagulation disorders, vascular disorders such as vasculitis, chronic hypertension, blood vessel damage due to old age; meningitis, radiation complication, cocaine abuse, scurvy Vitamin C deficiency or even after blood transfusion.

The word Ecchymosis has originated from the Greek language which means reddish or bluish discolouration of the skin due to extravasation of blood from ruptured blood vessels.

These patches of blood are larger than purpura and do not blanch on applying external pressure over them. Bleeding into the skin can occur from broken blood vessels that form tiny red dots called petechiae.

Blood also can collect under the tissue in larger flat areas called purpura , or in a very large bruised area called an ecchymosis. Aside from the common bruise, bleeding into the skin or mucous membranes is a very significant sign and should always be checked out by a health care provider. Redness of the skin erythema should not be mistaken for bleeding. Areas of bleeding under the skin do not become paler blanch when you press on the area, like the redness from erythema does.

Protect aging skin. Avoid trauma such as bumping or pulling on skin areas. For a cut or scrape, use direct pressure to stop the bleeding. If you have a drug reaction, ask your provider about stopping the drug. Otherwise, follow your prescribed therapy to treat the underlying cause of the problem.

Hayward CPM. Clinical approach to the patient with bleeding or bruising. Hematology: Basic Principles and Practice. Philadelphia, PA: Elsevier; chap



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