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Bleeding into the skin - MedlinePlus Medical Encyclopedia
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Bleeding into the skin

Contents of this page:

Illustrations

Black eye
Black eye

Alternative Names    Return to top

Ecchymoses; Skin spots - red; Pinpoint red spots on the skin; Petechiae

Definition    Return to top

Bleeding under the skin can occur from broken blood vessels that form tiny pinpoint red dots (called petechiae). Blood also can collect under the tissue in larger flat areas (called purpura), or in a very large bruised area (called an ecchymosis).

Considerations    Return to top

Aside from the common bruise, bleeding into the skin or mucous membranes is a very significant sign and should always be checked out. Redness of the skin (erythema) should not be mistaken for bleeding. Petechiae, purpura, and ecchymosis do not become pale (blanch) with pressure. The redness of erythema decreases and then returns when you apply and then release pressure to it.

Causes    Return to top

Home Care    Return to top

Protect aging skin. Avoid trauma such as bumping or pulling on skin areas.

For a cut or scrape, use direct pressure to stop the bleeding.

If you have a drug reaction, ask your health care provider about stopping the drug.

Otherwise, follow your prescribed therapy to treat the underlying cause of the problem.

When to Contact a Medical Professional    Return to top

Contact your health care provider if:

What to Expect at Your Office Visit    Return to top

Your doctor will examine you and ask questions about the bleeding, such as:

The following diagnostic tests may be performed:

References    Return to top

Schafer AI. Approach to the patient with bleeding and thrombosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 178.

Update Date: 5/2/2009

Updated by: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2009, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.


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