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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Purple Spots On The Forearms?

55year-old female, six yrs post op, proximal r-n-y bypass surgery, HX HYPERTENSION & Insomnia. Resent Hx of purple spots or brusing on the forearms. Do I need to see my PVP or is this just normal aging process? Note: No trauma noted prior to brusing appearing. Only thing I can think of is a heavier grocery bag or purse being carried on the affected arm, although it was not uncomfortable at the time. Do I need lab work done or is it the aging process?
Tue, 11 Nov 2014
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Due to aging process, skin will become fragile and easily gets injured. Even though it wont rupture, you can find purple spots due to bleeding of small vessels below it.
2. Need to keep the skin well hydrated. So drink plenty of water. Avoid during nights to prevent sleep disturbance. You can also apply moisturizers or vaseline to avoid fluid loss through skin.
3. Improvement in nutrition particularly a protein rich diet, with Vit A, C and E will be helpful in improving skin turgor.
4. Even though it is age related, Need to avoid minor trauma along with above is essential. If you find large bleeding spots, a hemostasis workup will be necessary.
Hope it helps.
Any further queries, happy to help again.
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What Causes Purple Spots On The Forearms?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Due to aging process, skin will become fragile and easily gets injured. Even though it wont rupture, you can find purple spots due to bleeding of small vessels below it. 2. Need to keep the skin well hydrated. So drink plenty of water. Avoid during nights to prevent sleep disturbance. You can also apply moisturizers or vaseline to avoid fluid loss through skin. 3. Improvement in nutrition particularly a protein rich diet, with Vit A, C and E will be helpful in improving skin turgor. 4. Even though it is age related, Need to avoid minor trauma along with above is essential. If you find large bleeding spots, a hemostasis workup will be necessary. Hope it helps. Any further queries, happy to help again.