Due to transition in the journal platform, the previously submitted articles, which are under process can be re-submitted here for quick process, kindly co-operate


Volume: 44 Issue: 1

  • Open Access
  • Case Report

Spontaneous bruising in an elderly female


 Celia Soni Saldanha1, Ravina Surve2, Shrutakirthi Shenoi2, Rama Prakash S.3, Meghashree G.2 


1Badr al Samaa Hospital, Oman 

2Kanachur Institute of Medical Sciences, Department of Dermatology, Natekal, Mangaluru, 575018, Karnataka, India 

3Srinivas Institute of Medical Sciences, Mukka, Mangaluru, Karnataka, India 


 Corresponding author: Ravina Surve. Email: [email protected] 

Year: 2024, Page: 164-166, Doi: https://doi.org/10.51248/.v44i1.4037

Received: Jan. 10, 2024 Accepted: Feb. 21, 2024 Published: May 1, 2024



 Bruising in the elderly can be relatively common due to changes in the skin and blood vessels that occur with aging. Several factors such as skin changes, medications, comorbidities contribute to an increased susceptibility to bruising in older individuals. While mild bruising is often a normal part of aging, it's important to pay attention to any unusual or severe bruising, especially if it occurs without apparent cause or is accompanied by other concerning symptoms. We report a case of asymptomatic bruising in an elderly woman with multifactorial aetiology secondary to medications, liver dysfunction and probable occult malignancy. 

Keywords: Spontaneous; bruising; elderly.



  1. Zumberg, M., Kitchens, C.S. Purpura and other hemovascular disorders. In: Kitchens CS, Alving B.M., Kessler, K.M., Eds. Consultative hemostasis and thrombosis. 2th ed. Philadelphia, PA: Saunders, an imprint of Elsevier Inc. 2007;59-182. 
  2. Escobar, M.A., Dyer, C.B. Differential diagnosis of nontraumatic purpura in the elderly - Have you considered acquired hemophilia? JGG.2019;67(3):168-180. 
  3. Kaya, G., Saurat, J.H. Dermatoporosis: a chronic cutaneous insufficiency/fragility syndrome. Clinicopathological features, mechanisms, prevention and potential treatments. Dermatology. 2007;215(4):284-294. 
  4. Johnstone, C., Rich, S.E. Bleeding in cancer patients and its treatment: A review. Ann Palliat Med. 2018;7:265-273. 
  5. Harrison, L. B., Nash, M.J., Fitzmaurice, D., Thachil, J. Investigating easy bruising in an adult. BMJ, 2017; 356: j251. 
  6. Mavroeidis, L., Vassou, A., Zarkavelis, G., Papadaki, A., Mouzaki, I., Ntellas, P., et al., Acquired hemophilia in an elderly patient with carcinoma of the ampulla of vater. Case Rep Oncol 2020;13:1-6. 
  7. Losos, M., Chen, J. Utility and interpretation of coagulation mixing studies. J Clin Transl Pathol. 2022;2(1):8-11. 
  8. Fei, X., Wang, H., Jiang, L., Zhao, T., Cheng, M., Yuan, W. Clinical and prognostic significance of lupus anticoagulant measurement in patients with lung cancer. Technol Cancer Res Treat. 2017;16(6):1006-1013. 

Cite this article


Celia Soni Saldanha, Ravina Surve, Shrutakirthi Shenoi, Rama Prakash S, Meghashree G. Spontaneous bruising in an elderly female. Biomedicine: 2024; 44(1): 164-166