What could be the reason for the bruising on the skin and the red spots in the mouth with slightly prolonged prothrombin time?

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Usually, bruising like bleeding can be expected due to platelet problems or vascular causes like vasculitis. Sometimes vitamin C deficiency also can lead vasculitis like problem. But as you have mentioned that your PT (prothrombin test) has been prolonged, it could be some form of coagulation problem of extrinsic factor pathway coagulation disorder. I want to check all your reports. So kindly attach your reports so I can check them and guide you accordingly. The hematologist will physically examine you and will advise you to investigate with a coagulation profile as well. So provide your reports, and I will check them.

Kindly revert for more queries.

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Prolonged PT (prothrombin time) suggests a defect in extrinsic or common pathway coagulation factor problems. For better understanding, the coagulation hemostatic pathway can be divided into intrinsic and extrinsic coagulation pathways. The extrinsic pathway problem leads to PT elevation. Intrinsic pathway problem leads to APTT (activated partial thromboplastin clotting time) prolongation. Factor 7 is included in the extrinsic coagulation pathway. So its deficiency can lead to PT prolongation. In coagulation assay profile reports, its estimation will be done. Liver problems and vitamin K deficiency also can lead to prolonged PT. But your liver profile is normal, so it can be excluded.

In case of a platelet function problem, the platelet count can be normal, and the bleeding time test can be raised. So bleeding time investigation also needs to be done. Your hematologist will examine you and will try to find out any hemostatic disease if present through a platelet function analysis report and coagulation profile investigation.

Kindly revert for more queries.

Thank you.

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Is there any thrombosis history in past? What is your blood pressure value? Kindly revert.

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You have had mild bruises for one year. Hence above mentioned investigation is needed to exclude any possible hemostatic problem. Moreover, your PT has been prolonged. So BT test and coagulation profile assay are advisable. Is there any known allergy history to any food or cosmetic product? Kindly revert.

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At that time, you could have had a viral stomach infection like gastroenteritis which can present with such symptoms. In addition, stool occult blood tests can be positive at that time due to enteritis. So, the platelet function problem or coagulation factor assay should be ruled out first. A bleeding test investigation is also needed. Blood vessel problems like vasculitis also can lead to easy bruises and petechiae. But it should be thought at last if no cause is evident. Kindly revert with the reports.

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Mostly acquired but can be inherited as well. Sometimes the expression of inherited problems occurs late in life as well. You have gained weight due to anxiety issues probably. Moreover, in a few patients, Lexapro seems to be causative for a mild increase in weight, so that it can lead to mild weight gain. Kindly revert.

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Yes, it can present with such symptoms. Moreover, normal APTT and prolonged PT also warrant investigation with factor seven assay. Kindly revert for more queries.

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Usually, a mild form of such a hemostatic problem does not progress. It can create problems during major trauma or surgery mainly.

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Yes. Due to that more bleeding history during surgery, you have to do above mentioned investigations.

Kindly revert with reports once done.

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Hi,

Welcome back to icliniq.com.

You can revert back with reports or after your hematologist consultation whichever is earlier.

Thank you.