China
Africa
Explore chapters and articles related to this topic
Cancer
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
Elyce Cardonick, Charlotte Maggen, Puja Patel
Pregnant women with leukemia can present with severe anemia, fatigue, thrombocytopenia, neutropenia, infection or sepsis, fever, bone pain, or bleeding. Physical exam can be significant for ecchymoses and petechiae, lymphadenopathy, or splenomegaly.
Complications of Fillers and Their Management
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
To prevent and manage early side effects, such as edema and ecchymosis, provide a preventative guideline to patients prior to the injectable procedure. Instruct patients to avoid blood thinning medications or foods and supplements. The day of the procedure, apply cold compresses during and following treatment. Arnica and other bruise-reducing topical agents may be of assistance. If an ecchymosis forms, treatment with a vascular laser may assist clearance.
Periorbital Region and Tear Trough
Published in Ali Pirayesh, Dario Bertossi, Izolda Heydenrych, Aesthetic Facial Anatomy Essentials for Injections, 2020
Colin M. Morrison, Ruth Tevlin, Steven Liew, Vitaly Zholtikov, Haideh Hirmand, Steven Fagien
Ecchymosis (11%), edema (12%), and inflammation (11%) are the most common complications [6]. Ecchymosis usually occurs at injection sites and can take up to 10 days to resolve. Due to the hydrophilic nature of the filler, variable but subtle edema is not uncommon, and resolution can take 2–3 weeks [2,22].
Spontaneous periocular ecchymosis: a major review
Published in Orbit, 2023
Matthew J. Hartley, Pav Gounder, Huw Oliphant
Periocular ecchymosis, or periocular bruising, is a common clinical finding where patients present with a variable degree of discoloration to the eyelids and periocular tissues, sometimes bilaterally. The skin of the eyelids is unique and among the thinnest in the human body.1 This, combined with an extensive vascular network with numerous anastomoses, means the periocular region is prone to bruising.2 The most common etiology is trauma including soft tissue injury, facial fractures, and skull base fractures, where mastoid ecchymosis – known as Battle’s sign – can also be observed. Various surgical and laser procedures including those performed by otolaryngologists, maxillofacial, ophthalmic, and plastic surgeons can also lead to periocular ecchymosis. The pathophysiology of bruising in these traumatic settings is crush damage and/or shearing forces to vascular beds that leads to extravasation of blood into soft periocular tissue planes.
Acute forearm compartment syndrome in the setting of acquired hemophilia A
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Giscard Joel Adeclat, Monique Hayes, Michael Amick, Joseph Kahan, Andrea Halim
A 69-year-old female with a history of rheumatoid arthritis originally presented to the emergency department with significant bruising to her bilateral upper and lower extremities after what the patient reported was a painful insect sting or bite to her left forearm 1 week prior (Figure 1(A–E)). Of note, the patient denied any trauma prior to or surrounding this event. Thorough evaluation was performed by the Hematology and the Dermatology service, and it was discovered that the patient had a severe Factor VIII deficiency recorded as 2% (Ref: 66.0–143.0%) likely secondary to the presence of Factor VIII inhibitor. Imaging studies included bilateral upper extremity soft tissue ultrasound that was unremarkable, without evidence of hematoma or drainable fluid collection but rather presence of mild cellulitis. Upon final diagnosis, patient was discharged with a treatment plan to include a 4-week course of Rituximab and Prednisone and subsequent follow up with hematology 3 days post discharge. During this period, the patient initially experienced improvement in swelling and ecchymosis.
An uncommon presentation of a cutaneous angiosarcoma
Published in Acta Chirurgica Belgica, 2021
Nicholas O. Wilssens, Margot Den Hondt, Jolien Duponselle, Raf Sciot, Daphne Hompes, Thomas H. G. Nevens
The lesion was first noticed 5 months prior to this consultation by the hairdresser and was subsequently examined by the general practitioner (GP) and treated with Hirudoid® creme (Mucopolysaccharide-polysulphate, DAIICHI SANKYO EUROPE GmbH, Germany). Three weeks later a trauma capitis occurred for which a CT-scan was performed that showed no lesions. This conservative treatment failed to resolve the hematoma. On the contrary, the discoloration expanded onto the left cheek. Therefore, the patient was referred to the department of Dermatology. A punch biopsy was performed to rule out malignancy, as the lesion had been present for 3 months at that time. Microscopical evaluation revealed no signs of malignancy so the patient was diagnosed with a large ecchymosis. An intermediate evaluation two weeks later showed no progression, but 2 months after the initial Dermatology consultation, the lesion had significantly grown in size.