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Doctor insights on: Petechiae And Bruising And Lupus

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Petechiae rashes on upper chest. What could this be? I have had blood test for lupus and sjogren's syndrome but all came back negative except C3 level

Petechiae rashes on upper chest. What could this be? I have had blood test for lupus and sjogren's syndrome but all came back negative except C3 level

Are they petechiae?: Real petechiae do not lose their color when you press down on them. With your dry eyes and joint pain, sjogren and lupus labs are in order. What's your platelet count, did you bleed badly during a dental procedure, and did your physician try something simple like a capillary fragility / tourniquet test? If it really petechiae without signs of clotting trouble, a dermatology consult is in order. ...Read more

Dr. Jeffrey Wint
207 doctors shared insights

Petechiae (Definition)

Petechiae = tiny red/purple spots on skin or mucus membranes ...Read more


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Is there a reason why a person with lupus should worry about bruising?

Is there a reason why a person with lupus should worry about bruising?

Like most things: It depends on the degree. Mild bruising no biggie. Moderate bruising common on prednisone. Severe bruising would bring in possibility of low platelets from disease or drug and would require further evaluation. ...Read more

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Does lupus cause bruising?

Does lupus cause bruising?

Rarely: Only if it is associated with low platelets or coagulation abnormalities. Prednisone, however, frequently causes bruising. ...Read more

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Can lupus cause easy, severe (aka: multiple and very large) bruising?

On occasion : On occasion it can due to medications, but i worry about low platelets or itp as the cause. Call your rheumatologist to be seen and evaluated. ...Read more

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Need doctor's help! will lupus make you bruise more easily?

Need doctor's help! will lupus make you bruise more easily?

Yes, sometimes: Only if your platelets are low or if you have a coagulation abnormality. Prednisone is a much more common cause of bruising in patients with lupus. ...Read more

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Wk 4 of 6 wk prednis10 mg&plaq. for lupus musc/jnt pain.Some relief but ab pain, wt gain,sweats, anxiety, bruising, no sleep. Stick it out or stop?

Wk 4 of 6 wk prednis10 mg&plaq. for lupus musc/jnt pain.Some  relief but ab pain, wt gain,sweats, anxiety, bruising, no sleep.  Stick it out or stop?

Side effects: Likely side effects from prednisone. However organ damage may occur if you just stop the prednisone. You should talk to your rheumatologist to get an alternate treatment if available. ...Read more

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Bruising on thigh there after two month. Sign of healing but still discoloration. I am anemic Could this just be low iron level. Fam. history of lupus?

Bruising on thigh there after two month. Sign of healing but still discoloration. I am anemic Could this just be low iron level. Fam. history of lupus?

Due to iron in blood: After bruises, the red blood cells break down and are processed by your body. The iron in the red cells (contained in the hemoglobin) is often left behind causing discoloration, kind of like a tattoo. These will usually fade gradually over months or years but sometimes are permanent. Not due to low iron. If you are bruising elsewhere or bleeding easily, platelets and bleeding time should be tested ...Read more

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I have not taken my lupus meds in over 2 yrs and it has been over a yes since i seem a doc. Been real fatigued, skin flares, depress, bruise. Er?

I have not taken my lupus meds in over 2 yrs and it has been over a yes since i seem a doc. Been real fatigued, skin flares, depress, bruise. Er?

No: The er has no idea what to do with you. See a rheumatologist. If you cannot get seen soon then see a primary care doctor in the meanwhile. ...Read more

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Hi.I noticed symmetrical thumbprint sized bruises on the back of my lower legs, no pain. I recently had a positive ANA & is not lupus. Many chronic il?

Hi.I noticed symmetrical thumbprint sized bruises on the back of my lower legs, no pain. I recently had a positive ANA & is not lupus. Many chronic il?

Ecchymoses: These ecchymoses could be due to trauma, bone marrow and other hematologic disorders and platelet disorders, liver disease, vit K deficiency, aspirin or Aleve type medication use or an autoimmune vasculitis. If these bruises continue to appear in the absence of injury, consult a hematologist. ...Read more

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Have lupus. Getting very itchy raised red pores (far apart) on arm, legs, torso. Getting lots of bruising around them. Not sure if from itchy.Cause?

Have lupus. Getting very itchy raised red pores (far apart) on arm, legs, torso. Getting lots of bruising around them. Not sure if from itchy.Cause?

Possible: If you have SLE ( systemic lupus erythematosus) then you must know that SLE can affect many different organs and very feequently the skin. The rash of SLE is photosensitive and typically describe as "butterfly rash" on your face, but SLE is known for many other dermatologic manifestations. You should ask your rheumatologist and if in doubt dermatologis can help sometimes with a skin biopsy. ...Read more

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I have the bruises on my legs that resemble erythema nodosum and I tested negative for sarcoidosis. Should I still have a biopsy to rule out erythema and possibly answer the question of what exactly is wrong with me? I've been tested for lupus and tb. Bo

I have the bruises on my legs that resemble erythema nodosum and I tested negative for sarcoidosis. Should I still have a biopsy to rule out erythema and possibly answer the question of what exactly is wrong with me?  I've been tested for lupus and tb. Bo

Easy does it: As often as not, erythema nodosum appears for no reason whatever and goes away after a while. If you feel well otherwise, and are hepatitis c negative, and it was not precipitated by medication, and your physician is okay with just watching it for a few weeks, that's probably fine. ...Read more

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What conditions mimic lupus, specifically with symptoms of extreme fatigue, muscle and joint pain, daily headaches, confusion, bruising, nosebleed ?

What conditions mimic lupus, specifically  with symptoms of extreme fatigue, muscle and joint pain, daily headaches, confusion, bruising, nosebleed ?

Lupus: Positive ANA tests are often seen in hashimotos disease which causes a lot of the symptoms you described. It's autoimmune thyroid disorder. Check your platelet count and clotting factors for possible autoimmune disorder causing these as well. Autoimmune disorders often run together. Let me know! ...Read more

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Is my bruising, burning/stinging at injection site normal-am i doing something wrong? Lupus anticoagulant antibody disorder-history of DVT and pe's.43 yrs old.Have been on new subq enoxaparin-100mg/ml twice daily for 3 days.Pain lasts at least an hour, ha

Is my bruising, burning/stinging at injection site normal-am i doing something wrong? Lupus anticoagulant antibody disorder-history of DVT and pe's.43 yrs old.Have been on new subq enoxaparin-100mg/ml twice daily for 3 days.Pain lasts at least an hour, ha

LMWH: You should be on treatment doses of Lovenox (enoxaparin) at 1mg/kg SQ twice daily if you have suffered a recent DVT and have lupus anticoagulants and use Lovenox (enoxaparin) as a bridge to warfarin. It is normal to feel injection site pain with treatment doses of Lovenox (enoxaparin). I instruct my patients to give "Lovenox (enoxaparin) in the love handles" and alternate sides , in addition to putting ice at the site for 5 min before injecting ...Read more

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Could I have Lupus? Age 34 female symptoms , fatigue, migraines, joint pain, numb hands & toes, bruise easy , oral thrush 5 times in 3 months flu symp

Could I have Lupus? Age 34 female symptoms , fatigue, migraines, joint pain, numb hands & toes, bruise easy , oral thrush 5 times in 3 months flu symp

It's hard to say: Clearly you have symptoms that are affecting your quality of life. Although fatigue and joint pain can be associated with an autoimmune disease like lupus, it is difficult to tie all of your symptoms into that disease. Please see a doctor to get your symptoms checked out. ...Read more

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Why would my skin get petechiae instead of a regular bruise after repeatedly being bumped with a narrow but blunt object?

Why would my skin get petechiae instead of a regular bruise after repeatedly being bumped with a narrow but blunt object?

Need platelets check: perhaps small cells in your blood called platelets are low. Why are you getting repeatedly bumped by a narrow blunt object? Can you where protection against the object when doing that activity. ...Read more

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When i scratch anywhere on my body, i see petechiae bruising afterwards. This is a recent thing, what could this indicate?

When i scratch anywhere on my body, i see petechiae bruising afterwards. This is a recent thing, what could this indicate?

You might: Need blood tests to make sure you have enough platelets and clotting factors that are needed for hemostasis. A doctor can see if these tests are necessary. ...Read more

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Can you tell me what could cause tiredness, petechiae spots and unexplained bruises?

Can you tell me what could cause tiredness, petechiae spots and unexplained bruises?

Thrombocytopenia?: Might see with medication reaction, or problem involving bone marrow. See your doctor and obtain hematological survey asap. ...Read more

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Dr. Melissa Gowans
1,415 doctors shared insights

Ecchymoses (Definition)

Ecchymosis = subcutaneous bleeding covering a diameter ...Read more


Dr. Melissa Gowans
2,060 doctors shared insights

Bruising (Definition)

Bruising = a contusion with ...Read more