Evaluation of easy bruising

Última revisión: 12 Oct 2025
Última actualización: 22 Aug 2024

Resumen

Diferenciales

Común

  • Purpura simplex
  • Actinic purpura (also known as senile purpura)
  • Medications
  • Alcohol use disorder
  • Drug-induced thrombocytopenia
  • Platelet storage pool disease
  • von Willebrand disease (vWD)
  • Vitamin K deficiency
  • Cirrhosis
  • Vasculitis
Todos los datos

Infrecuente

  • Hereditary hemorrhagic telangiectasia (HHT)
  • Cushing syndrome
  • Child abuse
  • Elder abuse
  • Immune thrombocytopenia (ITP)
  • Thrombotic thrombocytopenic purpura (TTP)
  • Hemolytic uremic syndrome (HUS)
  • Disseminated intravascular coagulation
  • Wiskott-Aldrich syndrome
  • MYH9-related disorders
  • Bernard-Soulier disease
  • Thrombocytopenia with absent radius syndrome
  • Glanzmann thrombasthenia
  • Acute myelogenous leukemia
  • Acute lymphocytic leukemia
  • Hodgkin lymphoma
  • Non-Hodgkin lymphoma
  • Multiple myeloma
  • Solid tumor with infiltration of bone marrow
  • Myelofibrosis
  • Myelodysplastic syndrome
  • Aplastic anemia
  • Hemophilia
  • Factor V, VII, X, or XI deficiency
  • Acquired coagulation inhibitors
  • Vitamin C deficiency
  • Marfan syndrome
  • Ehlers-Danlos syndrome
  • Acute liver failure
  • Gardner-Diamond syndrome
Todos los datos

Colaboradores

Autores

Tzu-Fei Wang, MD
Tzu-Fei Wang

Assistant Professor of Internal Medicine

The Ohio State University

Columbus

OH

Divulgaciones

TW declares that she has received an honorarium from Daiichi Sankyo.

Eric H. Kraut, MD
Eric H. Kraut

Professor of Internal Medicine

The Ohio State University

Columbus

OH

Divulgaciones

EHK declares that he has no competing interests.

Revisores por pares

Donald M. Arnold, MDCM, MSc

Associate Professor

Department of Medicine

McMaster University

Hamilton

Ontario

Canada

Divulgaciones

DMA has received speaking honoraria from Amgen for presentation on immune thrombocytopenia; consulting fees from Amgen, and Bristol-Myers Squibb for ITP related studies; and research grants from Amgen, GlaxoSmithKline, and Hoffman-La Roche for clinical studies in ITP. He is co-author of a reference cited in this topic.

Deborah Siegel, MD, MSc, FRCPC

Clinical Scholar

McMaster University

St. Joseph’s Healthcare Hamilton

Hamilton

Ontario

Canada

Divulgaciones

DS declares that she has no competing interests.

Riten Kumar, MD, MSc

Assistant Professor of Pediatrics

Nationwide Children’s Hospital

Ohio State University

Columbus

OH

Divulgaciones

RK declares that he has no competing interests.

David Keeling, BSc, MD, FRCP, FRCPath

Consultant Haematologist

Oxford Haemophilia & Thrombosis Centre

Churchill Hospital

Oxford

UK

Divulgaciones

DK declares that he has no competing interests.

Professor Cheng-Hock Toh, MBChB, MD, FRCP, FRCPath

Professor of Haematology

University of Liverpool

Liverpool

UK

Divulgaciones

CHT declares that he has no competing interests.

Shankaranarayana Paneesha, MBBS, MD, FRCP, FRCPath

Consultant Haematologist

Heart of England NHS Foundation Trust

Birmingham

UK

Divulgaciones

SP has received a speaker fee from Janssen.

Agradecimiento de los revisores por pares

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Referencias

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Artículos principales

Faughnan ME, Mager JJ, Hetts SW, et al. Second international guidelines for the diagnosis and management of hereditary hemorrhagic telangiectasia. Ann Intern Med. 2020 Dec 15;173(12):989-1001.Texto completo  Resumen

Tiede A, Collins P, Knoebl P, et al. International recommendations on the diagnosis and treatment of acquired hemophilia A. Haematologica. 2020 Jul;105(7):1791-801.Texto completo  Resumen

Neunert C, Terrell DR, Arnold DM, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv. 2019 Dec 10;3(23):3829-66.Texto completo  Resumen

Rodeghiero F, Tosetto A, Abshire T, et al. ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders. J Thromb Haemost. 2010;8:2063-2065.Texto completo  Resumen

Platton S, Baker P, Bowyer A, et al. Guideline for laboratory diagnosis and monitoring of von Willebrand disease: a joint guideline from the United Kingdom Haemophilia Centre Doctors' Organisation and the British Society for Haematology. Br J Haematol. 2024 May;204(5):1714-31.Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

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