Hemorrhage, Hematoma, Coagulopathy - DermAtlas

Contributor

Rachel Abuav, MD

Diagnosis

hemorrhage hematoma coagulopathy

Body Site

hip abdomen

Age

85 years

Pigmentation

light

Organization

confluent

Color

purple

Morphology

macular / flat (macule / patch)

Pattern

asymmetric

Comments

This 85-year-old woman, who was on anticoagulation therapy for atrial fibrillation, developed a well demarcated area of hemorrhage of the right flank and hip. Her INR was greated than 10, and ultrasound of the pelvis demonstrated an introperitoneal and retroperitoneal hemorrhage. Turner sign is characterized by blue-purple or green-bronze discoloration of the flank associated with hemoperitoneum. Subtle blue discoloration of the periumbilical skin secondary to hemoperitoneum is referred to as a Cullen sign.

Description

large purple nonblanching patch

Image Added

8/26/2004 21:23:02

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Other Resources

PubMed Medline Plus Medscape

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