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Dr. Andrew Rynne

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Noticed flat red bruise at the base of finger. What could this be?

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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11495 Questions

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Posted on Tue, 11 Dec 2012 in Skin Hair and Nails
Question: I just noticed yesterday a small round flat bruise at the base of my left ring finger. It is reddish brown in color. I don't notice any other bruising and I was wondering what this is? A couple of months ago I noticed two of these types of bruises on my right arm. They disappeared after a few days.
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Answered by Dr. Praveen Tayal 3 hours later
Hello,
Thanks for posting your query.
Easy bruising can be for many causes such as
- Platelet disorders of counts like thrombocytopenia,
- Disorders of function like Glanzman syndrome where platelets are lazy i.e. normal in number but slow to clumping and degranulation.
- Deranged Prothrombin time (PT) /activated Partial Thromboplastin time (aPTT) secondary to many causes including iatrogenic cause by taking warfarin for cardiac arrhythmias
- And lax and fragile skin secondary to senile atrophy of dermis and reduced connective tissue supportive parenchyma and as a result of treatment with steroids.

So I believe getting your blood counts repeated along with Capillary fragility test can be helpful to detect bleeding tendency.
Discuss about these possibilities with your treating physician and he/she can stream line these tests for you. You also may start with Vitamin C and Vitamin A supplements to improve skin texture and reduce easy bruising.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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