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Senile purpura bruises and treatment options

Skin Health | Last Active: Aug 12, 2025 | Replies (120)

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Profile picture for JK @contentandwell

@ellerbracke @imallears Are you sure these are bruises? I get purple spots on my forearms that are called actinic purpura, or very insultingly, senile purpura. As my daughter commented when I told her that, "how rude!". Here is an article about a product, Dermend, that is supposed to help with this.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605207/
I asked my dermatologist and he prescribed Tretinoin, which is basically a retin A type of cream and supposed to make your skin a little thicker to not get these marks as easily.
I am including pictures of my purpura so you can see if this what you also have. They are different from bruises actually, and more apt to happen with fair-skinned people. Being on prednisone increases the chance of getting them because apparently, prednisone thins your skin more. I just found this out Friday from a nurse.
I wear an Apple watch now and am getting a lot of redness/purpura where that is. The Apple watch emits a green light out the back to reflect on your blood and determine your BPM. I am wondering if that green light may be causing a problem for me. I think I may try turning that option off on my watch.
There is a heavy makeup called Dermablend that is made for body usage - they actually have both, facial and body. That could help I believe but it sounds as if it's a pain in the neck to use. I am hoping mine will diminish some time before my son's wedding, but if not I may consider using it.
JK

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Replies to "@ellerbracke @imallears Are you sure these are bruises? I get purple spots on my forearms that..."

Your photos look exactly like my leg and arms today. I have talked to dermatologist 3 times about this and she says there is nothing to be done. It seems to be happening more and more lately. If I scratch an itch, bump anything even a little, a mark shows up. Of course there are days when they just appear! I even took off a Band-Aid covering them and got a mark from removing it. It is pretty embarrassing having these marks all over my arms and legs especially during hot season. Any suggestions for me? I asked about a cream that can toughen skin up but really did not get answer on that either. Very frustrated with this new condition!