What is the cause for senile purpura?

Question

Hi doctor,

I have had a painless red spot, which is about 4 mm in diameter, on the top of the foot for about two months. I used various salves, which did not help me. I am taking the tablet Warfarin and the tablet Metoprolol.

Please help.

Thank you.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

From your description, it can be a purpuric patch. Your attachment is not clear (attachment removed to protect patient identity). Get your blood tested for platelet count, APTT (activated partial thromboplastin time), and PT (prothrombin time) tests, as you are taking the tablet Warfarin, which is a blood thinner.

If they are abnormal, report to a physician nearby. If they are normal, start using Cetaphil daily moisturizer along with a vitamin C-rich diet like citrus fruits.

Thank you for consulting me.

You can always reach me at icliniq.com.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have gone through the attachment (attachment removed to protect patient identity). It is senile purpura. Due to the fragility of the skin in the elderly, mild trauma will precipitate the purpura.

Prefer a vitamin C-rich diet and use Cetaphil daily moisturizer twice daily all over the foot. Get platelet count re-checked monthly.

Looking forward to your response in order to help you.

Thank you.