What is senile purpura?

Senile purpura is benign, easy bruising that affects older adults. It’s sometimes called actinic purpura.

This occurs because the skin and the blood vessels become more fragile as we age, making it easier for our skin to bruise from minor trauma. This is different than conditions that cause easy bruising due to bleeding disorders.

Senile purpura is fairly common, affecting about 10 percent of people over the age of 50. This percentage increases with age.

What are the symptoms of senile purpura?

The primary symptom of senile purpura is large, purplish-red bruises that are most common on the backs of the hands or the forearm. They become brown discoloration as they fade.

These bruises typically last between one and three weeks before fading. They fade to brown instead of having the typical coloration of a fading bruise, which may look blue, green, or yellow at different healing points. The brown discoloration may fade, but it could be permanent.

While purpuric lesions most commonly occur on the hands and forearms, they can also occur on mucous membranes, including those in the mouth and even in internal organs.

What causes senile purpura?

The most common factor that most directly affects the development of senile purpura is thin, easily damaged skin. Sun damage over a long period of time can also play a role in developing senile purpura, as this can weaken our connective tissues over time.

Vascular diseases or medications that affect the blood vessels can also contribute to the development of senile purpura. Diabetes, rheumatoid arthritis, and lupus may also increase the likelihood of developing the lesions.

Certain drugs, including corticosteroids and aspirin, may exacerbate the lesions.

In most cases, senile purpura develops from minor trauma, even though it looks like the person sustained a serious injury.

How is senile purpura diagnosed?

If you’re experiencing a sudden increase in large bruises on your body, make an appointment with your doctor.

Your doctor will ask about your symptoms and medical history and do a physical assessment. If they see that your ecchymoses — or lesions — are painless and restricted to the hands and forearms with no other abnormal bleeding, they’ll likely diagnose you with senile purpura.

How is senile purpura treated?

In most cases, there is no treatment required for senile purpura. However, some people dislike the appearance of bruises and seek treatment.

Your doctor can prescribe topical retinoids that thicken your skin to prevent further skin ageing. This then reduces the risk of senile purpura. However, retinoids have many side effects that may outweigh any potential benefits.

Protecting your limbs by wearing shin guards can also help prevent minor trauma that causes bruising.

Natural remedies

Taking citrus bioflavonoids twice daily may also be a good natural remedy for senile purpura. One study found that it reduced the purpura lesions by 50 percent in a group of 70 senior citizens.

One 2015 study also found that applying an epidermal growth factor directly to the skin twice per day thickened the skin and decreased the number of purpuric lesions the people in the study experienced.

There has been some interest in topical vitamin K as a treatment for senile purpura. One study found that applying topical vitamin K after a laser treatment minimized bruising. However, no studies have been done on people who have senile purpura.

What is the outlook for senile pupura?

Senile purpura is not dangerous and is completely benign, but unless changes are made, the condition is likely to be recurring. Wearing sunblock can help protect your skin from further sun damage.

Most purpuric lesions last between one and three weeks, though the discoloration may be permanent after they fade. You can talk to your dermatologist about how to reduce their appearance.