Blue bruises appear too quickly what are the causes

Not everybody reacts the same when bumping into an object or hitting something accidentally. The one person practically has never any blue bruise if bumping into something hard and the other person has bruises regularly. What causes a bruise and what kind of disorders or diseases can be of influence with that?


What is a bruise?

Everyone knows the situation, you hit yourself hard and you get a bruise. Sometimes it even hurts and can have a deep blue, red or purple color. This condition is caused as tissue below the skin is damaged whereby blood leaks. The combination of swelling and bruises gives mostly a painful result and can be visible for some days up to several weeks. Gradually with time passes the color changes till green, yellow and eventually the normal skin color. 


Influence of blood platelets

If a blue bruise occurs then blood platelets will make sure that the wound can recover quickly. If these so called thrombocytes work less efficient the bleeding will last longer so that having a blue bruise will be visible more quickly. If there is a shortage of platelets then recovery will take longer and more quickly resulting in hematoma. It can also happen that a small bump quickly results in a blue or black bruise. With normal functioning thrombocytes there bruises won’t show as they don’t occur. What are the reasons why platelets are less effective and what diseases can cause this?


Medicine usage

Radical diseases need heavy medicine to treat them. Medicine sometimes can counteract the functioning of the platelets. Think about excessive usage of aspirin but also heparin which is prescribed when having a heart-attack. In that case the goal is to dissolve blood clots so that the normal blood flow is restored. As this is a heavy medicine it also has far fetching consequences such as on getting hematoma. If you have a wound or too much pressure on the skin, veins rupture and long-lasting bleedings will occur. As the medication counteracts the working of the platelets hematoma and bruises will be visible more quickly. 


A relative thin skin

Not everyone has a thick skin. Locally everyone has different thicknesses. Think about the sole of the foot as it needs to transfer many loads and therefore the skin is thicker. But when you look at the ankle it is relatively thin and therefore variation in skin thickness is normal. Some people have in general a thin shin showing veins under the skin more easily. As the skin is thin it gives less protection against bumps so that this person will get bruises very quickly.


Skin atrophy due to Prednisone

To treat heavy inflammation or diseases for which other medicine has no effect, then Prednisone is used. This is a heroic medicine and consists of adrenocortical hormone (corticosteroid). It stops inflammation radically so that the body can react positively on it. Think about Kahler disease to lower the calcium levels and to counteract the swelling of cancer tumors. When Prednisone is used for a long period of time skin atrophy occurs resulting in a thin skin. The chance on getting bruises is high. Normally when you get older also the skin will have atrophy.


Which illnesses can cause it?

Next to fore mentioned situations it can also be a direct result of a disease. Some of these diseases have far fetching consequences for the future. Think about the following diseases:

  • Acute myeloid leukemia: there are too much unripe white blood cells suppressing healthy red blood cells. The bodily resistance drops next to which thrombocytes aren’t properly created;
  • Immune Thrombocytopenia: with ITP the immune system attacks thrombocytes as a connected protein is considered a threat for the body. This is an auto-immune disease and can quickly lead to blue bruises, purpura aka blood-red spots on the body;
  • Kahler disease: this is marrow cancer giving too much blood plasma with one type of antibodies. The creation of platelets is disturbed;
  • Waldenström disease: this is also marrow cancer resulting in too much B-lymfocytes. This gives a M-protein peek due to which other blood cells cannot be created anymore;
  • Willebrand disease: with this disease the person has an abnormal protein in the blood plasma whereby thrombocytes are less stimulated to solidify. This disease occurs approximately with one out of a hundred persons and can be unnoticed unless they have a wound with long-lasting bleeding.


If you have acute appearing blue bruises then sometimes a quick medical check-up is necessary. Some of previously mentioned diseases have far fetching consequences and potentially can be life-threatening.