Purpura Simplex

(Easy Bruising)

ByDavid J. Kuter, MD, DPhil, Harvard Medical School
Reviewed/Revised May 2023
VIEW PROFESSIONAL VERSION

Purpura simplex is increased bruising that is due to fragile blood vessels.

    Purpura simplex is extremely common. The cause is not known. Some doctors think it may be a feature of many disorders, but others think it is a normal variation.

    Purpura simplex usually affects women. Bruises develop on the thighs, buttocks, and upper arms in people without known injuries. People may have family members who also bruise easily. Although doctors often do tests of the blood clotting system to look for clotting abnormalities, no abnormalities are found (see also Bruising and Bleeding).

    aspirin-containing medications.

    Bleeding under the skin may also be more common among older people (a condition called senile purpura). Senile purpura commonly causes bruising on the hands and forearms.

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