Non pruritic lesions started 2 years back

89 year old female complains of these lesions started 2 years ago. Haven't really evolved during that time. It does not itch or hurt. Has not sought for treatment before. PMH: Has congestive heart disease, arterial valve stenosis, atherosclerosis. She herself thinks that lesions have something to do with a pesticide, that was used near her house. Lesions are on the legs, arms. Also has similar lesions on left side of chest that resemble lesions on arms. What is diagnosis and treatment?

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Senile purpura is benign, easy bruising that affects older adults. It's sometimes called actinic purpura. This occurs because the skin and the blood vessels become more fragile as we ag.e, making it easier for our skin to bruise from minor trauma. Senile purpura causes ecchymoses and results from increased vessel fragility due to connective tissue damage to the dermis caused by chronic sun exposure, aging, and drugs. (See also Overview of Vascular Bleeding Disorders.) Purpura refers to purplish cutaneous or mucosal lesions caused by hemorrhage.

IT'S A..CASE OF.. ? VASCULOPATHY.. ? ECHYMOSIS.. ? PPP..

Tnx Dr Shivraj Agarwal sir
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Senile Purpura Vasculitis Echymosis Needs evaluation

* Echymosis. ** Drugs induced thrombocytopenia

Thanks Dr Kute Ankush
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SUGGESTIVE of MEDICATIONS INDUCED .. SENILE THROMBOCYTOPENIC PURPURIC. RASHES ALTERED. WITH ATHEROSCLEROSIS AND ARTERIAL. STENOSIS

?senile PURPURIC lesions

Thanx dr Kute Ankush
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1st lesion :: Tenia infection 2 nd lesion :: Age related xerosis of skin DD Ecchymosis due to anticoagulants and senility

Senile purpura? Or pt had history of cardiac disease so it may be due to asprin induced thrombocytopenia

Senile / Actinic purpura Medicinal/ atherosclerotic thrombocytopenia

KIND OF DERMOPATHY EXCLUDE PERIPHERAL VASCULAR DESEASE

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