Senile Purpura

It is quite common with patients of geriatric age group who often presents with other complaints often end up showing their arms Management What do you all advise them for the same?

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It is a geriatric ecchymosis may due to slightest trauma, it does not require any tratment gets resolution of its own within 10 - 15 days. May be due anticoagulant therapy for DVT, post operative case of stenting or Coronary byepass surgery If this was due to defect in coagulation there should be bleeding other sites also.

Thanks Dr Dinesh Gupta
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Purpuric Dermatitis..? Genetic disorders.. Echymosis... Anticoagulant therapy.. Tab multivitamins antioxidants trace elements.. Clotting test.,BT,PT, PTT,CT... CBC rules out anything bleeding disorders... Maintenance hygiene... Meditation start....

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Do clotting profile Usually many on anticoagulants fo AF or DVT etc then have to adjust the dose of anticoagulant. Blood tests to rule of any leukaemia such CLL very common in old age with almost normal life span. Tests for chest xray and USG to rule out other malignancy Finaly if all diseases including autoimmune diseases are excluded then may consider as normal idiopathic which is usually not extensive ,then give micronutrients in sufficient amount with nutritious diet and Simple assurance.

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? VASCULOPATHY .. ? SENILE PURPURA .. NEED'S .. BLOOD CBC CT BT PT .. DRUG HISTORY ..

Tnx Dr Vipin Bihari Jain sir
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Of course SENILE PURPURA usually self limited, benign & need no tt but Clotting, Bleeding tests , Blood sugar & CBC shud be done to exclude any other bleeding or clotting disorder. May give Vit.C daily & may apply Aloe vera gel locally.

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Obviously Senile purpura Needs further investigations clotting vitaminC

Thanks Dr. Ajeetpal Singh ,Dr. Sandeep Ghodeker, Dr. Kute Ankush ,Dr.Dinesh Gupta, Dr. Parvez Alam
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Senile Purpura Ad investigation for bleeding disorder

Hold antiplatelets. Prefer vit C supplements. Adv PT INR and BT CT.

POSSIBLY SENILE PURPURA ESPECIALLY. IN BOTH. EXTREMITIES

Senile purpura

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