Purpuras can also be a side effect of some cancers, including lymphoma and leukemia. The main symptom of purpura is a purplish-red rash beneath the skins surface. 10. In the . It is also known as Bateman purpura, after British dermatology actinic purpura, because of its association with sun damage. Accessed October 2016. You may notice them on your skin or mucous membranes (e.g., inside your mouth). Physical examination will reveal thin fragile skin, which has an increased tendency for bruising and tearing. Topical vitamin K1 promotes repair of full thickness wound in rat. Cosmetics & Toiletries. No treatment is necessary for this type of purpura. Actinic cheilitis is a variant of AK that arises on the lower lip. 1. (2017). Australas J Dermatol. Berlin, J. M., Eisenberg, D. P., Berlin, M. B., Sarro, R. A., Leeman, D. R., & Fein, H. (2011, July). Senile purpura may also be a sign of collagen loss in the skin and bones. ), (Reviews treatments for the aging skin; includes a discussion on vitamin C and topical hormone therapy. Lou WW, Quintana AT, Geronemus RG, et al. Injury Actinic purpura occurs almost exclusively among the elderly population, although it may occasionally occur in younger people. 6. More common among young children, this type of purpura frequently precedes a respiratory infection. 2009;22:200209. arrow-right-small-blue Actinic purpura, also known as solar purpura, Bateman purpura, senile purpura, or Bateman disease is a common disorder of dermal connective tissue due to damage from chronic sun exposure. With slight trauma (brushing against something) the walls break and the blood leaks into the surrounding skin. 1103-6. Sahle FF, Gebre-Mariam T, Dobner B, et al. 45. 42. Ceramides. 40. Purpura are often the result of minor injury and resolve independently. A controlled clinical trial assessed the beneficial effects of a ceramide 3-containing emollient using an experimental skin barrier dysfunction model in healthy volunteers. In one randomized, double-blind, placebo-controlled study (N=22), subjects applied vitamin K cream to one side of their face for two weeks before and/or two weeks after laser treatment for facial telangiectases using a 585nm pulsed dye laser. There may be some external bleeding and bruising. alpha-Hydroxy acid-based cosmetic procedures. Topical hormone therapy (ie, DHEA and progesterone creams). 1987;123:16381643. Kidney damage can occur in people with Henoch-Schnlein purpura; this damage may require dialysis or a kidney transplant and can become life threatening without treatment. 2014;46:409412. Vasculitis The initial signs of senile purpura are purple or red bruises that have an irregular shape. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Senile purpura is a condition which is mostly seen in older adults. First, usually there wasn't much of a knock or injury to cause them. Spotty rash on the humans legs. Post-inflammatory hyperpigmentation may occur. Kawada A, Konishi N, Oiso N, et al. Int J Cosmet Sci. Hypothesis: senile purpura is a prognostic feature in elderly patients. This medication can also help manage purpura in people who are resistant to corticosteroid therapies. Durai PC, Thappa DM, Kumari R, et al. Results showed that application of vitamin K before the laser treatment did not reduce brusing, however patients who applied vitamin K after the laser treatment did demonstrate a significant reduction in the severity of bruising. In these topics. Skin disorders in elderly subjects. Excessive sunlight exposure is a main cause, so exposed areas like the limbs are most often affected. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Dermatol Surg. Skin aging: postulated mechanisms and consequent changes in structure and function. Disseminated intravascular coagulation is also associated with widespread purpura, as well as ecchymoses or bruising and bleeding, and has several potential causes. McKnight B, Seidel R, Moy R. Topical human epidermal growth factor in the treatment of senile purpura and the prevention of dermatoporosis. Bateman Purpura - Caused by lack of support of blood vessels secondary to old age. Side effects include nausea, fever, and headache. They are largely common in old people as their skin as well as blood vessels becomes very fragile and thin. Similar to other skin conditions, the incidence of actinic purpura increases with advancing age and occurs with equal frequency among men and women. 1996. pp. RF 2B19X53 - Dry skin with wrinkles on the hands of an elderly . LOCATION Frequently on ultraviolet (UV) exposed areas including the face, lips, ears, scalp, shoulders, neck, back of the hands and forearms. In initial stages, they are purplish red and appear as patches or spots on the skin. vol. Petechiae are small, purpuric lesions up to 2mm across Ecchymoses or bruises are larger extravasations of blood. A Condition Where Bruises Appear on Sun-Exposed Skin. [12] Its unattractive appearance may lead to aversion by others. The theory is to thicken the dermis and improve the overall appearance of the skin. Only the lesions erupted on the skin may be emotionally distressful and irritating to the patients because it creates a cosmetic disfigurement of the skin. In this article, learn how to stop a nosebleed at home. 25. Purpura is a symptom and not a condition itself. Cutis. 2014;71:177184. Functional and physiological characteristics of the aging skin. Results showed an exponential increase of senile purpura with respect to age and a higher number of males suffering from SP than females.). ), Lawrence, N. New and emerging treatments for photoaging. Aging skin is thought to be the most common cause of senile purpura. J Drugs Dermatol. [18] Similarly, actinic purpura is a cosmetic condition that can also be associated with significant psychological distress. 163. This treatment increased epidermal thickness, and upregulated genes for collagen type 1, and collagen type 3 with corresponding increases in procollagen I and procollagen 3 protein expression and a significant reduction in facial wrinkles.20 Similarly, the topical application of 0.1% retinol in another study increased keratinocyte proliferation and epidermal thickness and improved major signs of skin aging. Actinic (Senile) Purpura. Arch Dermatol. Treatment of actinic purpura. Over time, they turn purple and darken a bit further before fading away. He healed well post-peratively and did not experience new tears,brusing or trauma to the grafted location after 15 months. The consequences of photodamaged skin include increased rhytides, pigmentary changes, skin laxity and roughness, and telangiectasias, which may have a negative impact on overall quality of life including interpersonal interactions and self-esteem. The discolored spots of senile purpura have also been called blood spots or skin hemorrhages. We avoid using tertiary references. (Results showed a significant increase in elasticity and firmness in the treatment group. Retinol. 4. People may refer to these presentations as skin hemorrhages or blood spots. The main symptom is a rash with . Doctors may prescribe drugs to suppress the immune system if kidney damage is severe. Senile purpura occurs most frequently in older adults, but normal aging is not the only source of this kind of skin damage. All rights reserved. Int J Dermatol. 1985. pp. 39. A study in the Journal of Drugs and Dermatology found success using an oral medication designed to treat and prevent senile purpura. All Rights Reserved. This condition is also referred to as solar purpura and Bateman's purpura. They are largely common in old people as their skin as well as blood vessels becomes very fragile and thin. Aging Clin Exp Res. A purpura rash occurs when small blood vessels burst, causing blood to pool under the skin. 44. While we often refer to this as a condition caused by aging, it's more accurately a condition caused by years of sun damage. arrow-right-small-blue 2010;3:135142. J Am Acad Dermatol. Background. Solar purpura is more commonly known as senile purpura, but is also sometimes called actinic purpura or Bateman purpura. Actinic purpura is a skin condition in which small purple splotches or bruises form on the forearms and hands. If the skin is especially thin, it may tear, causing a lesion at the site of the bruise. 28. Cutis. [30], Arnica oil. Purpura Simplex Bruising and Bleeding. 13. Chen AC, Damian DL. The side effects of using corticosteroids for an extended period include cataracts, bone loss, and weight gain. Yamamoto Y, Uede K, Yonei N, et al. Numerous studies have demonstrated the beneficial effects of topical retinol, a precursor of retinoic acid. When treatment is necessary, it is not due to the rash itself. Nausea that can lead to vomiting. [5] This fragility syndrome has been termed dermatoporosis.6 Changes in normal skin physiology include increased susceptibility to infection, diminished superficial pain perception, and decreased immune and inflammatory responses.[7]. ), Seeley, BM, Denton, AB, Ahn, MS, Maas, CS. Niacinamide: a B vitamin that improves aging facial skin appearance. Results showed that this treatment has the potential to be an effective antiaging treatment in the future. This variation of purpura is common in older adults, and the risk increases with age, affecting 1 in 4 aged 90-100 years. Suction bruise This can include options such as chemotherapy, antiviral drugs, steroid medications, antibiotics, and surgery. Other names for this include solar purpura, senile purpura, traumatic purpura, and Batemans disease. Diseases that impair bone marrow function may restrict the bodys ability to make platelets, and attack bone marrow, such as: Small purple spots on the skin, typically 410 millimeters (mm) in diameter, characterize purpura. [37] Most of these substances were found to be potent promoters of keratinocyte differentiation. There are articles that suggest these treatment options; however, the risks do not outweigh the benefits in this benign disorder. Solar purpura is a skin condition that causes purple spots or bruises when small blood vessels leak under the skin. [25],[28],[29] The long-term use of an a-hydroxy acid-containing product resulted in significant clinical improvements in facial skin tone and fine wrinkling, which were associated with psychosocial benefits. Perrin's Blend is a thick, sticky, burgundy colored ointment used to correct specific spots of abnormal skin growth: skin lesions, moles, actinic keratosis, warts. Actinic purpura is characterized by ecchymoses on the extensor surfaces of the forearms and the dorsa of the hands that usually last 1-3 weeks. Cutaneous and psychosocial benefits of alpha hydroxy acid use. Pointing on X-ray brain image Magnetic resonance scan of the brain. Other causes of nonthrombocytopenic purpura. Gupta M, Gupta A. Photodamaged skin and quality of life: reasons for therapy. It is caused by chronic exposure to the sun which causes fragile, damaged skin and manifests as dark purple blotches (macules) and extensive ecchymosis (bruising) on areas of . Skin aging is a complex process associated with cumulative DNA damage[1] due to intrinsic factors, such as the action of reactive oxygen species,[2] and exogenous factors including exposure to ultraviolet light. Effect of homeopathic arnica montana on brusing in face-lifts. They may also be called as skin hemorrhages or blood spots. A 68-year-old woman is bothered by easy bruising. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pubmed/21720653, http://jcadonline.com/treatment-of-actinic-purpura/. Palpable purpura is purpura than can be felt, due to inflammation of the blood vessels ( vasculitis) Nonthrombocytopenic purpura happens when platelet levels are normal, suggesting another cause. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Who is at Risk for Developing this Disease? Using an animal model, a topical vitamin K cream increased experimental wound healing. Kucharekova M, Schalkwijk J, Van De Kerkhof PC, et al. A thin-partial thickness section of his left forearm was removed and replaced with fenestrated Apligraf. If you lift weights, the straining from pulling on the weights could cause the blood droplets to appear. 2022 JCAD | The Journal of Clinical and Aesthetic Dermatology. Researchers noted that the treatment appeared to safely and effectively reduce bruises in people with senile purpura. Sort by: Most popular doctor view output CT scan. You can learn more about how we ensure our content is accurate and current by reading our. [4244], The application of niacinamide can also improve the appearance of fine lines and wrinkles[45],[46] hyperpigmentation spots, texture, red blotchiness, and sallowness.46 In one randomized clinical trial, female subjects (N=50) with signs of facial photoaging including fine lines and wrinkles, poor texture, and hyperpigmented spots applied 5% niacinamide to half of the face and its vehicle control to the other half twice daily for 12 weeks. Nonablative Fractional Laser Resurfacing in Skin of Color: Evidence-based Review, Treatment of Moderate-to-severe Acne Vulgaris in a Hispanic Population: A Post-hoc Analysis of the Efficacy and Tolerability of Clindamycin 1.2%/ Benzoyl Peroxide 3.75% Gel. - Evidence-Based Guidance Kurban RS, Kurban AK. Attempts to increase the dermal thickness have been tried with topical retinoids and AHAs with minimum benefits. J Drugs Dermatol. Mature skin is prone to bruising, resulting in a condition known as actinic purpura, characterized by unsightly ecchymosis and purple patches. It is also known as Actinic purpura and Senile purpura. 31. Doctors can usually diagnose senile purpura based on a visual examination alone. Know the causes, signs, symptoms, treatment and prevention of solar purpura. [12] Ultrasound measurements indicated a mean (SEM) skin thickening of 195.2 (35.7) m while the mean number of purpuric lesions decreased from 15 (4.6) to 2.3 (0.7) over the same time period. In one study, retinol 0.1% was applied to the skin of healthy women 35 to 55 years old (N=41) every other day for two weeks, then daily for 10 additional weeks. Senile purpura appears to be caused by dermal and vascular fragility induced by chronic sun exposure 1. Cardiovascular health: Insomnia linked to greater risk of heart attack. This weakness makes the blood vessels fragile, which means that even after a minor bump, red blood cells can leak into the deeper layers of the skin, causing the distinctive purpura to appear. (M2.DM.17.4774) A 79-year-old woman with a history of . We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Learn how your comment data is processed. Older individuals have thinner, more fragile skin, so bruises are more likely to form as a result. Coagulation defects usually present as large ecchymoses and external bleeding. ITP occasionally causes bleeding in the brain, causing permanent brain damage or death if not promptly treated. They predominantly treat thrombocytopenic purpura and patients who do not respond to corticosteroids. Farage MA, Miller KW, Elsner P, et al. What is the latest research on the form of cancer Jimmy Carter has? https://www.healthline.com/health/senile-purpura#diagnosis4, https://www.belmarrahealth.com/senile-purpura-causes-symptoms-diagnosis-treatment-tips/, https://www.ihealthblogger.com/senile-purpura-images-causes-differential-diagnosis-and-treatment/, http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/dermatology/the-aging-skin/, https://emedicine.medscape.com/article/1087008-treatment, Ingrown Toenail Infection, Remedies, Home Treatment, Surgery and Removal, Ingrown Fingernail Infection, Causes, Treatment and Home Remedies, How long does nicotine stay in your system, Overuse of blood-thinning medicines like steroids & aspirin, Thrombocytopenia (deficiency of platelets), Dark colored lesions on hands, forearm, face & neck, Occurrence in chronic relapsing conditions, Vasculitic injury in liver, kidneys, brain, lungs or gastrointestinal tract. 2005;76:135141. 8. One of the most-studied varieties of purpura is Henoch-Schnlein purpura, a nonthrombocytopenic version of purpura. The objective of this paper is to review the beneficial properties of these ingredients and their respective roles in the treatment of actinic purpura. Actinic purpura, also known as Bateman's or senile purpura, is due to the rupture of delicate blood vessel walls, leading to an erythematous purpura most often seen on the dorsum of the hands in elderly populations . Psychological aspects of skin disorders in the elderly. Kligman AM. Effects of microcurrent application alone or in combination with topical Hypericum perforatum L. and Arnica montana L. on surgically induced wound healing in Wistar rats. Varying in size, large purpura spots are called ecchymosis while the smaller ones are termed as petechiae. Castro FC, Magre A, Cherpinski R, et al. RF 2HPDXWA - Purpura, senile purpura. She recalls that even reaching into her purse can cause bruising along the sides of her arms. Can diet help improve depression symptoms? 14. Kalivas L, Kalivas J. Effects of 0.1% retinoic acid on Batemans actinic purpura. Immune thrombocytopenic purpura (ITP), also known as idiopathic thrombocytopenic purpura or immune thrombocytopenia, is a type of thrombocytopenic purpura defined as an isolated low platelet count with a normal bone marrow in the absence of other causes of low platelets. JCAD | The Journal of Clinical and Aesthetic Dermatology. Senile Purpura also termed as actinic purpura is a . Niacinamide (or niacin) is a form of vitamin B3 with antioxidant properties that help improve skin appearance. MNT is the registered trade mark of Healthline Media. Actinic purpura can also be seen on the upper extremities (Figure 1). 2012;21:3336. One should immediately consult a dermatologist to reduce their appearance. ), (Geriatric study of prognostic factors of senile purpura (SP) in 1125 elderly Chinese patients. Henoch-Schonlein purpura (HSP) is a disease that involves inflammation which causes blood vessels in the skin, intestines, kidneys, and joints to start leaking. Alcohol and aspirin thin the blood, therefore making it easier to leak into the skin. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. [39] Skin barrier dysfunction was caused by tape stripping, which resulted in erythema and increased transepidermal water loss associated with up-regulation of cycling cells, involucrin, and expression of cytokeratin-16. Actinic purpura seen on the forearm of an elderly female. "Purpura" refers to blood that's lost from the blood vessels and trapped in the skin resulting in a purple spot. The following broad generalisations may be made. - And More, (Case report of a 77-year-old white male who presented with actinic purpura, easy bruisability, and recurrent wounds on his left forearm. Some forms of skin cancer look similar to the purple spots of purpura. Patients develop persistent dark purple ecchymoses . J Clin Pathol. [40] Niacinamide has been shown to increase the beneficial effects of moisturizers for treating xerosis by improving the integrity of the stratum corneum41 and increasing corneal hydration. vol. [CDATA[ These occur when blood vessels burst near the skins surface and may appear red, purple, or black. The most common factor that directly affects the development of Senile purpura is; thin and easily damaged skin. Taking these types of medications increase the risk of internal bleeding, but having this skin condition doesn't mean you have an especially high bleeding risk. 99-112. 32. 3. Can poor sleep impact your weight loss goals? When combined with a vitamin C-containing moisturizer, the application of topical retinol 0.1% for 12 weeks improved the appearance of women with mild-to-moderate hyperpigmented and photodamaged facial skin. However, people with gastrointestinal or kidney issues should avoid these medications. People should work with their doctor to diagnose and treat serious disorders if that is the cause of their bruising. Leu S, Havey J, White LE, et al. Kaya G, Saurat JH. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Thrombotic thrombocytopenic purpura (TTP), nonsteroidal anti-inflammatory medications (NSAIDs), Complications and risk factors of purpura, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605207/, https://www.nhs.uk/conditions/henoch-schonlein-purpura-hsp/, https://www.nhlbi.nih.gov/health-topics/immune-thrombocytopenia, http://www.merckmanuals.com/professional/hematology-and-oncology/bleeding-due-to-abnormal-blood-vessels/senile-purpura, https://www.ncbi.nlm.nih.gov/books/NBK482331/, https://academic.oup.com/rheumatology/article/60/8/3868/6016136, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505620/, https://www.nhlbi.nih.gov/health-topics/thrombotic-thrombocytopenic-purpura. We prefer the term sunburn purpura because it reflects the acuity of the phenomenon, as opposed to the previous labels solar purpura or photolocalized purpura, which also could suggest causality from chronic sun exposure.It has been proposed that sunburn purpura is a . [34],[35] As a result of skin barrier defects, up to 75 percent of elderly patients are affected by xerosis. The cream helps fade existing bruises/red marks much faster than normal and can also help prevent further bruises. 2000. pp. Nosebleeds are a common problem, but they often subside quickly with at-home treatment. Solar purpura (senile purpura, actinic purpura) is a benign form of purpura related to sun exposure. Topics AZ Bissett DL, Oblong JE, Berge CA. Actinic purpura, also known as Batemans or senile purpura, is due to the rupture of delicate blood vessel walls, leading to an erythematous purpura most often seen on the dorsum of the hands in elderly populations . Small lesions (< 2 mm) are termed petechiae, and large lesions are termed ecchymoses or bruises. Introduction. 2014;79:256264. There are also some new medications available. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Evaluation of anti-wrinkle effects of a novel cosmetic containing niacinamide. What Is Solar Purpura - Picture. Children experiencing Henoch-Schnlein purpura are often likely to get better without treatment. Retin A 0.1% cream applied once at bedtime as tolerated; at least 3 months of treatment is needed to see any effect. Learn more about, Purpura and petechiae are discolored spots of skin that result from leaking blood vessels. Topical niacinamide reduces yellowing, wrinkling, red blotchiness, and hyperpigmented spots in aging facial skin. Petechiae do not feature. If you have any concerns with your skin or its treatment, see a dermatologist for advice. For more information, call The S.F. 51. Dermatologists may recommend other medicines to people who are troubled by the sight of the bruises. They do not occur from any deficiency of vitamins or minerals, neither because of any bleeding disorders. Other causes of nonthrombocytopenic purpura can include: allergic vasculitis. 2002;46:331338. Medicine, science concept. In some cases, doctors may recommend NSAIDs to reduce inflammation and pain. Kochhar R. Ten projections for the global population in 2050. It is closely associated with photoaged skin[15] and may be worse among people taking aspirin, nonsteroidal anti-inflammatory drugs, or anticoagulants. Steroid purpura In patients with platelet counts that are low enough to be life threatening, doctors may offer immune globulin treatment. (Geriatric study of prognostic factors of senile purpura (SP) in 1125 elderly Chinese patients. Fourth edition. What causes purpura? Does anyone else in the home have the same symptoms? The only effective method for preventing purpura is avoiding the conditions that cause it. While the skin will not be itchy or painful in many cases, there may sometimes be some tenderness or irritation. Bruises usually come back throughout the persons life, and there is no known cure for senile purpura. 43. The initial signs of senile purpura are purple or red bruises that have an irregular shape. The primary symptom of Senile purpura is large, purple-red bruises that are most common on the . Some hyperpigmentation may remain after the purpura resolves. Senile purpura also known as Bateman senile purpura or actinic purpura, is a common, benign skin condition characterized by the recurrent formation of purple ecchymoses (bruises) on the extensor surfaces of forearms following minor trauma. Van Scott EJ, Yu RJ. Search worldwide, life-sciences literature Search. Sunscreens, long clothing, and hats will not reverse damage caused by sun exposure, but they can help prevent additional damage. Shavit Gavish May 6, 2018 Skin, Hair and Nails No Comments. Optimal Therapeutic Approach for this Disease, Unusual Clinical Scenarios to Consider in Patient Management. I get purple spots on my forearms that are called actinic purpura, or very insultingly, senile purpura. 17. It is common to receive a complete blood count (CBC), as well as any number of more specific tests. Chapter Contents Actinic Purpura Disseminated Intravascular Coagulation They can also occur in the mucous membranes, especially in the mouth or other internal organs. What causes actinic purpura?Actinic purpura results from sun-induced damage to the connective tissue of the dermis (deeper layers of the skin) combined with . J Am Acad Dermatol. Small lesions (< 2 mm) are termed petechiae, and large lesions are termed ecchymoses or bruises. Prednisone causes the blood vessel walls to become very fragile. All rights reserved. 422-4. Results showed that fasting plasma zinc levels were lower in those with senile purpura, than those without. Henoch-Schnlein purpura may also cause a rare condition in which the bowel folds over itself; this creates a bowel obstruction that restricts digestion. She is otherwise healthy and is not taking any medications. A thin-partial thickness section of his left forearm was removed and replaced with fenestrated Apligraf. Seborrheic dermatitis commonly affects the skin on the chest, causing a red, scaly rash to appear. Cutis. Results showed that fasting plasma zinc levels were lower in those with senile purpura, than those without. Clin Cosmet Investig Dermatol. Petechiae are usually present in thrombocytopaenic purpura. ), Shah, NS, Lazarus, MC, Bugdodel, R. The effects of topical vitamin K on bruising after laser treatment. Copyright 2017, 2013 Decision Support in Medicine, LLC. [50] There was no difference in the extent of bruising on the topical vitamin K-treated sides; however, the severity of bruising was significantly less on the vitamin K-treated sides. RF 2H4RE8B - Discolored spots of senile purpura, aging skin. 2012;6:97. One case report describes this extreme procedure in which affected skin is excised first before placement of the graft. Semin Cutan Med Surg. As we age the tissues in our skin become thinner and the blood vessels in our skin become more fragile. The participants also felt that their skin looked and felt better when using the medication. 47. Deep dissecting hematoma: an emerging severe complication of dermatoporosis. Arch Facial Plast Surg. 1988;124:2425. Chen AC, Martin AJ, Choy B, et al. Drugs that suppress the immune system, such as prednisone, may help elevate platelet levels. 19. There may also be an increased incidence in people who take aspirin, anticoagulants, or nonsteroidal anti-inflammatory medications (NSAIDs). (Placebo-controlled, randomized, prospective study in 75 postmenopausal women who applied topical DHEA cream (ranging from 0.1-2%) twice daily to several areas on the body for 13 weeks. Side effects include sore throat, low blood pressure, fever, and rash. Actinic, or senile, purpura. Actinic purpura. 1999. pp. Because purpura can signal an underlying medical problem, it may lead to complications without treatment. For some patients, this may also include the lower legs. 2016;15:4957. ), Haboubi, NY, Haboubi, NA, Gyde, O. Other names for this include solar purpura, senile purpura, traumatic purpura, and Bateman's disease. Panich U, Sittithumcharee G, Rathviboon N, et al. Thrombotic thrombocytopenic purpura (TTP) means that platelet counts are low, suggesting an underlying clotting disorder. This is a benign condition of aging and systemic implications and complications have not been reported.
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