From the Research
Introduction to Persistent Ecchymosis
Persistent ecchymosis, or bruising, two weeks after a fall from the floor can be caused by various factors. It is essential to consider the patient's overall health, medications, and potential underlying conditions that may contribute to the prolonged bruising.
Potential Causes of Persistent Ecchymosis
Medications and Supplements
Medications that affect coagulation pathways, such as anticoagulants, can increase the risk of bruising and prolong its resolution [ 1, 2 ]. Additionally, certain supplements like Aesculus hippocastanum, a herbal anticoagulant, can also contribute to ecchymosis [ 2 ].
Underlying Medical Conditions
Certain medical conditions, such as bleeding disorders or platelet dysfunction, can increase the risk of bruising and prolong its resolution. It is crucial to investigate potential underlying conditions that may be contributing to the patient's persistent ecchymosis.
Non-Traumatic Ecchymoses
Non-traumatic ecchymoses can occur due to various reasons, including disease, clinical conditions, or as a side effect of treatment [ 3 ]. It is essential to recognize and distinguish these non-traumatic lesions from traumatic ecchymoses to provide accurate diagnosis and treatment.
Treatment and Management
Discontinuation of Medications or Supplements
If the patient is taking medications or supplements that may be contributing to the ecchymosis, discontinuing or adjusting the dosage may help resolve the bruising [ 2 ].
Intense Pulsed Light Therapy
Intense pulsed light therapy has been shown to reduce bruising after dermal filler and neuromodulator injections [ 4 ]. This treatment may also be effective in reducing persistent ecchymosis.
Differential Diagnoses and Caveats
Accurate Diagnosis
It is crucial to accurately diagnose the cause of persistent ecchymosis to provide effective treatment and prevent potential complications. Failure to correctly identify non-traumatic ecchymoses may lead to malpractice lawsuits or unjust legal judgments [ 3 ].
Color Assessment
Color assessment of bruises is not a reliable method for determining the age of a bruise [ 1, 5 ]. It is essential to consider other factors, such as the patient's medical history and medications, when evaluating persistent ecchymosis.
Conclusion
Persistent ecchymosis two weeks after a fall from the floor can be caused by various factors, including medications, supplements, underlying medical conditions, and non-traumatic ecchymoses. Accurate diagnosis and treatment are crucial to prevent potential complications and improve patient outcomes. Healthcare providers should consider the patient's overall health and potential underlying conditions when evaluating persistent ecchymosis [ 1, 2, 5, 3, 4 ].