Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

What is the cause of painful small, flat, purplish marks on the back and arm ?

My 7 year old daughter was outside playing with her sister and her friends when she came home I noticed that she had several( 6 or 7) small, flat, purplish marks on the back of her arm that look like little bruises. They were not there this morning. I also noticed she has a few on her leg just below her knee . The ones on her leg appear a little lighter in color (pinkish purple). She did not complain about them until I pointed them out. When I touched them, she started crying and complaining that they hurt. She does not appear to have any other symptoms. I took pictures of them. I am reluctant to take her to the pediatrician , if it s not absolutely necessary. It is a holiday weekend so I am sure the hours are very limited and it is a far drive from our home.
Asked On : Tue, 10 Apr 2012
Answers:  1 Views:  64
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
Pediatrician, Infectious Diseases 's  Response
Welcome to Healthcare Magic forum.
Considering your description your daughter seems to have a petechial rash or a ecchymoses (bruise) . The cause for them is bleeding from the small vessels under the skin either due to trauma, allergy(pollen or plant , insect bites, paints or chemicals or harsh sun rays.etc)or an infection or blood disorfer.
In her case it was sudden, acute so most likely to be either traumatic or allergic.
The fact that its localised to the back of her arm and leg, favours more towards a traumatic cause.
Many a times, children do not heed to cuts and bruises while playing only to find them painful during rest or sleeping.
The best way to confirm is (as you know), a physical examination by her pediatrician who can come to the exact diagnosis and appropriate management.He may order a blood test to rule out any bleeding disorders or vitamin deficiencies which can frequently cause such bleeding even without any trauma or minimal stress.
The complications which can arise if neglected are, spread of the rash , oral lesions if allergy or infection and internal bleeding if blood disorder or severe trauma.
There are chances that the lesions may not spread and gradually change color to brown , green and fade away
Assuming, she has no other complaints like fever, bleeding through any other site (blood in stools, urine or cough), no swelling , breathing difficulty,no major pains, I would say that the situation doesn't seem to be an emergency and you may wait and watch for it's resolution.
Meanwhile you may try the following for relief.
1.Apply ice or wash the area with cold water .Apply ice for about 15 minutes at a time, and always put something like a towel or wash cloth between the ice and the skin.
2. For pain, you may give her analgesics as per your doctors prescription Usually acetaminophen is preferred over ibuprofen which can prolong bleeding.Pain and tenderness should get better within a few days and the bruise should go away within a couple of weeks.
3.if its itching or burning local application of calamine containing lotions may provide soothing relief.
4 If the lesions increase in number or she develops any of the above mentioned symptoms please seek prompt consultation with her doctor or any urgent care facility.
Hope that answers your query.
Wishing her good health.
Answered: Tue, 10 Apr 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor