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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Purple Blots On The Wrists?

Black and purple blots on wrists and back of hands. Now a 6 bruising on my left leg. I take 10 mg of prednisone 2x a day why am I bruising so badly? I have been on it for over 5 years. I am growing hair on my upper lips my ankles and toes are swollen. I am 85 years old lady. With bad insomnia
Thu, 12 Jun 2014
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Psychiatrist,  's  Response
Prednisolone is glucorticoid steroid. It causes subcutaneous bleeding when minor scratches or trauma occurs.The parts you mentioned i.e. wrist and back of hands have very much less space between bone and skin. No thick muscles or subcutaneous fat there.So they came in to contact more with hard surfaces and scratches occurs.Due to subcutaneous bleeding there they become purple. You can have a cup of warm milk before going to bed which will help you for sleep.You can take help of your prescribing doctor to give you appropriate benzodiazepine for sleep if needed.
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What Are The Purple Blots On The Wrists?

Prednisolone is glucorticoid steroid. It causes subcutaneous bleeding when minor scratches or trauma occurs.The parts you mentioned i.e. wrist and back of hands have very much less space between bone and skin. No thick muscles or subcutaneous fat there.So they came in to contact more with hard surfaces and scratches occurs.Due to subcutaneous bleeding there they become purple. You can have a cup of warm milk before going to bed which will help you for sleep.You can take help of your prescribing doctor to give you appropriate benzodiazepine for sleep if needed.