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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@pb50

I have the condition. Takes almost nothing to create one. Bur weeks to fade away

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I get them too. ( previously I posted my doctor said they are senile purpura - I’m not senile just a 76 yr old senior:) ). Got one on my forearm just reaching into the fridge and bumped my arm on a shelf. Then I got a huge one on my left hand reaching into the microwave. It doesn’t take much to get one, if my dog gets to wrestling and his feet hit me, I get one and if his nails are involved my skin just rips. It’s frustrating. They fade but it take days to disappear. I agree the cream for crepy skin does nothing for the bruises, it softens the skin but doesn’t thicken it. I refuse to wear long sleeves in hot weather and hate cream in the heat too. Right now I’m searching for some kind of tees with see through sleeves, found some but the entire garment is see through! Might end up wearing a cami under that.

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@pb50

I have the condition. Takes almost nothing to create one. Bur weeks to fade away

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Exactly. And as soon as you bump some thing, you know it's gonna be ugly, but nothing you can do!
I'm wondering about the oral drug Purpurex. I hate to add a new drug to my pillbox, but if it works and there's no downside, it would be great

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My dermatologist said nothing to do for it.

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@mydogsbestfriend

I get them too. ( previously I posted my doctor said they are senile purpura - I’m not senile just a 76 yr old senior:) ). Got one on my forearm just reaching into the fridge and bumped my arm on a shelf. Then I got a huge one on my left hand reaching into the microwave. It doesn’t take much to get one, if my dog gets to wrestling and his feet hit me, I get one and if his nails are involved my skin just rips. It’s frustrating. They fade but it take days to disappear. I agree the cream for crepy skin does nothing for the bruises, it softens the skin but doesn’t thicken it. I refuse to wear long sleeves in hot weather and hate cream in the heat too. Right now I’m searching for some kind of tees with see through sleeves, found some but the entire garment is see through! Might end up wearing a cami under that.

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I went to hematologist about these and he found I am deficient in vitamin c that builds collagen. I have many food intolerances and ibs, so that makes sense. I have been supplementing with buffered C for a few months, and my arms were briefly clear, then I caught Covid for first time and now the blood spots arise again at the slightest pressure from brushing against surfaces and the skin tears too easily. With spring gardening starting up I have to remember to wear the arm sleeves because my arms are a mess from brushing up against foliage! I’m only 66 and worry about the state of my skin over the next decades!

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I am on a blood thinner and bruise very easily. Sometimes I feel like I can just look at myself and I bruise. The slightest scratch when I have an itch will bruise me.
I hate it but it’s better than the alternative.
Thanks for all the good suggestions, will try some of them.

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@dmcara

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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I had never considered the Covid vaccine as being part culprit of this condition. I also have asthma and take two different inhalers plus some oral medication for it. No doctor has told me that either one of these contributes to my condition, but it’s interesting to think about. My doctor told me it had to do with a couple of my heart medication‘s which I have since quit taking temporarily and I’m still getting the bruises/tears on my arms!
I would like to find some kind of a skin cream that actually strengthens the skin on my arms to prevent this damage. I have tried Arnica, but it doesn’t work for me.

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@kathypratt

I had never considered the Covid vaccine as being part culprit of this condition. I also have asthma and take two different inhalers plus some oral medication for it. No doctor has told me that either one of these contributes to my condition, but it’s interesting to think about. My doctor told me it had to do with a couple of my heart medication‘s which I have since quit taking temporarily and I’m still getting the bruises/tears on my arms!
I would like to find some kind of a skin cream that actually strengthens the skin on my arms to prevent this damage. I have tried Arnica, but it doesn’t work for me.

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Yea mine is getting bad -meaning they show up if I look at it crosswise. This is the back of my hand from opening a box.

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I wear gardening sleeves (sun protective) doesn’t help me from getting the little (or big) bruises. I wore them the other day and was surprised at the bruising I got. Wearing full length rose gloves will help - maybe cut the finger tips out of them so I can feel what I am doing??

I always thought i got this because of all the sunbathing in my youth and into my 30s. It starting in my late 50s. I do use Dermend, it’s pricy, but it does speed up the time the bruising shows. It also has an ingredient that can make my skin more sun sensitive. If I put it on immediately after a bump, it shortens the time even more so.

I’ve always felt kind of embarrassed by this, and as with most thing, sharing helps alleviate the embarrassment. But as I write this, I can think of many times when I feel embarrassed by little things that are age-related when I’m around people who are younger than me, I’m 71.

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I have this problem and, when I have a ugly spot that I do not want to show, I found a product that is fantastic. Dermablend cover cream foundation. I blend it into the area then seal it with a couple dabs of face powder. It lasts all day and, in my experience, it is waterproof. This product is fantastic and it lasts a very long time. Just a little dab will do ya! 🙂 You can get it at beauty supply stores. Below is a link where I get mine.

https://www.amazon.com/Dermablend-Cover-Creme-Coverage-Foundation/dp/B0017MWW24/ref=pd_day0fbt_consumables_d_sccl_2/133-3388321-3483433?pd_rd_w=NyUuM&content-id=amzn1.sym.23382111-a86d-49ce-ab4b-dbef30bcb407&pf_rd_p=23382111-a86d-49ce-ab4b-dbef30bcb407&pf_rd_r=N8JG49ES0E00RBXNAR8G&pd_rd_wg=9Yxvj&pd_rd_r=5bcf472a-a7d2-41bf-abdd-e832a9967435&pd_rd_i=B0017MWW24&th=1
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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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i have them and so did my father

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