Red/Blue Lesions
Ecchymosis
Etiology • Soft tissue hemorrhage • Blood dyscrasia with secondary thrombocytopenia, hemophilia • Vascular wall defects • Coagulopathy • Trauma
Etiology • Soft tissue hemorrhage • Blood dyscrasia with secondary thrombocytopenia, hemophilia • Vascular wall defects • Coagulopathy • Trauma
Clinical Presentation • Larger than pinpoint spots (ie, larger than petechiae) • Nonvesicular, macular surface • Lesions do not blanch with pressure • Red to reddish blue to brown color
Diagnosis • Characteristic size, color • History • Blood count, coagulation profile
Differential Diagnosis • Hemophilia, Kaposi’s sarcoma, hemangioma, thrombocytopenia,
von Willebrand’s disease, leukemia, trauma
Treatment • Identification of etiology, and corresponding treatment
Prognosis • Excellent