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).
Aside from the common bruise, bleeding into the skin or mucous membranes is a very significant sign and should always be checked out by a health care provider.
Redness of the skin (erythema) should not be mistaken for bleeding. Areas of bleeding under the skin do not become pale (blanch) when you press on the area. The redness of erythema decreases when you apply pressure to it and returns when release the pressure.
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.
Contact your health care provider if:
The health care provider will examine you and ask questions about the bleeding, such as:
The following diagnostic tests may be performed:
Ecchymoses; Skin spots - red; Pinpoint red spots on the skin; Petechiae
Ballas M, Kraut EH. Bleeding and bruising: a diagnostic work-up. Am Fam Physician. 2008 Apr 15;77(8):1117-24.
Piette WW. Purpura. In: Bolognia JL, Jorizzo JL, Schaffer JV, eds. Dermatology. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 22.
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
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