Senile purpura bruises and treatment options

Posted by ellerbracke @ellerbracke, May 24, 2019

I ( and a friend or 2) love gardening. Even with wearing long sleeves while working outside, (today it was about 76 degrees by 8 AM here), I still get poked or scratched. The resulting bleeds and the bruises are way out of proportion to the cause. Anybody have a good suggestion how to cover up some of the bruises on my lower arms (elbow to wrist) so I don’t look so abused when going out in public? Meaning, make-up tricks. Tomorrow it will be around 94 degrees again here, so long sleeves out and about are not what I want to wear going forward.

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The purple spots don't bother me as much as the scars from inadvertent mild scratches on the backs of my hands that continue to open up and bleed a bit when exposed to water. Does anyone know of a solution other than to wear rubber gloves - admittedly obvious?

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@lioness

@imallears For your bruises have you ever tried Arnica it's made for bruises and pain. For my pain I use it mixed with essential oils ,have used it on bruises Right now 8a.m. It's 58degrees .

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I too have used it but wish results were faster, but it definitely works.

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Does anyone have any tips on how to lessen the effects of bruising on thin skin?

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@dmswinnea

Does anyone have any tips on how to lessen the effects of bruising on thin skin?

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Welcome @dmswinnea, I moved your question about senile purpura and lessening the effects of bruising on thin skin to this existing discussion:
- Senile purpura bruises and treatment options: https://connect.mayoclinic.org/discussion/hiding-old-lady-bruises/

I did this so you can see what members are suggesting and connect with others like @ellerbracke @jilliemo12345 @contentandwell @jnb @liene @alohamelanie @notmoff @bimshire and more.

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@ellerbracke

At age 72 I’ve been dealing with increasingly fragile, thin skin. Have had senile purpura (sp.) for several years. I’m joking that if you give me a sharp look, I bruise heavily. Even absent-mindedly rubbing an itch produces a bruise on my arms. And any scratch, be it ever so slight, produces copious blood. Not on blood thinners! But a few days ago I hit a new low: went to swim laps in an indoor pool, had a bandaid on a minor scratch on back of my left hand, and remembered that this facility does not permit bandaids in the water. So I peeled it off - a water-proof version, and it resulted in a new tear where the outer corner of the bandaid had stubbornly clung to my skin. Did not even notice until salt pool water hit the hand, and I had pink run-off on top of my hand. Any advice, remedies, age-reversal skin rejuvenation, or other input would be great. Just don’t ask me to stop everyday life, which includes yard work, some home improvement projects, and just in general being not super careful.

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I have found 2 bandaid types that do not tear the skin -
BandAid Sensitive Skin and Tegaderm which is invisible and waterproof.

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While gardening “an ounce of prevention is worth a pound of cure.” I have a pair of “arm protectors” made of a tough, tightly-woven fabric. With openings at top and bottom, they slide on and cover your arms from your gloves well past your elbow. At the upper arm there are adjustable tabs to tighten or loosen them. I wear them plus gloves whenever I am working around thorny or scratchy plants. Where I live, I need to have lots of thorny and scratchy plants or face losing them to deer! Another good idea is to use a weeding tool in your left hand to lift and hold back a large plant while your right uses another tool to rake, weed, till, plant, or remove debris from the soil under it. You might also try using a few hoop-like plant supports to erect a temporary cage around a threatening plant. Another thought: if there are chores you cannot do with gloves on, you need to shop for thinner gloves with a better sense of “touch” that you will want to keep on. There are some with tiny rubber bumps on the palms and inside fingers. I found mine years ago from a vendor at the Philadelphia Flower Show. Their brand name is Fox.

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@dmswinnea

Does anyone have any tips on how to lessen the effects of bruising on thin skin?

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Hi, @dmswinnea As you can see in this topic, there are many ideas. I did have some success with tretinoin. It wasn't 100% but it was better than nothing. Now, since I am no longer on prednisone, I have fewer purpura.

Ask your dermatologist for a prescription. By the way, since it is considered to be a cosmetic problem, Medicare does not pay for it. If you use the app GoodRx you can find it for a good price though.
JK

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@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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Thanks for sharing your photos. I have the same spots on forearm, diagnosed as senile purpura, but oddly, they only began to appear several months after my first Covid Vaccine. I never had them before. I don’t believe it’s a coincidence because after first booster they appeared the next day, mostly on left forearm where I received the dose, but also sometimes on the right. I have tried to research the connection, but haven’t found anything similar. They most often appear unrelated to physical activity, but I also notice now if I scrape my arm even slightly against a surface, they immediately appear. Sometimes large patches, other times tiny, multiple dots. No pain or itchiness. I had no other side effects from the shots. I have asthma and take inhaled steroids so wonder if the combination set it off. I would be grateful to learn if anyone else has experienced or heard of this reaction. (I did fill out the “adverse reaction” paperwork for Pfizer, but had no response.) I am not against vaccine and grateful for it as I live with an elder parent, who is vulnerable, and need to protect her as much as possible. Thank you.

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Glad to find a group where we can share experiences with senile Purpura (object greatly to use of “senile” as it’s associated with lack
Of mental faculties!) my bruises appeared about 6 months ago and after visits with dermatologist and primary care doctors, realize I am on my own when it comes to treatments. Now using/taking bioflavonoids, Vit. k, C, Arnica, DermMed cream and recently trying roll on Helichrysum…that last one is probably a stretch but at this stage, I’d rub bear grease on me if I thought it would help! Nursing home skin has done a number on my confidence (know I’m not alone) and have somewhat backed away from activities I enjoy…pickle ball, biking and gardening. Stupidly rode my 10 year old’s bike yesterday…fell and now nursing a disgusting leg gouge. Just read about “topical Human Epidermal growth factor” Too good to be true, right? Old age sure ain’t for sissys! Not that I look forward to winter anymore, but at least the bruises will be covered up. 😳 would enjoy commiserating with others!

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@megmaine

Glad to find a group where we can share experiences with senile Purpura (object greatly to use of “senile” as it’s associated with lack
Of mental faculties!) my bruises appeared about 6 months ago and after visits with dermatologist and primary care doctors, realize I am on my own when it comes to treatments. Now using/taking bioflavonoids, Vit. k, C, Arnica, DermMed cream and recently trying roll on Helichrysum…that last one is probably a stretch but at this stage, I’d rub bear grease on me if I thought it would help! Nursing home skin has done a number on my confidence (know I’m not alone) and have somewhat backed away from activities I enjoy…pickle ball, biking and gardening. Stupidly rode my 10 year old’s bike yesterday…fell and now nursing a disgusting leg gouge. Just read about “topical Human Epidermal growth factor” Too good to be true, right? Old age sure ain’t for sissys! Not that I look forward to winter anymore, but at least the bruises will be covered up. 😳 would enjoy commiserating with others!

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I wear long sleeves even in hot weather!

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