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Black/purple Bruise On Eyelid, On Cholesterol And BP Medication.Suggestion?

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Posted on Thu, 7 Jun 2012
Question: I'm 66 years old, in fairly good health (taking cholesterol meds (220) and blood pressure meds. (blood pressure now is 125 over 70).

This morning I got up and washed my face and looked fine. Now, at 4:00 p.m. all of a sudden I have a bruise (about the size of a dime) and dark black/purple in color riight under my left eyelid. I do not remember bumping into anything or hitting anything in that area.

This is the first time this ever happened and it scares me to death. Help?
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Hello,
Thanks for posting your query.
Development of bruise under the eye spontaneously without any history of injury is suggestive of a bleeding disorder. You need to consult your physician to get a complete blood coagulation profile checked with APTT and platelet count to rule out other possible causes like thrombocytopenia.
This can also happen due to a viral infection in the recent past- decreases the synthesis of platelets from the bone marrow.
Presence of any autoimmune disorders also needs to be ruled out.
The treatment is based on the diagnosis and severity of the problem. Treatment is usually done by fluid infusion, steroids, immunoglobulins, blood transfusions, etc according to the severity of the condition.
This problem needs an immediate medical attention and further investigations are entailed. I encourage you to consult a physician who can guide you through the tests.
Hope this answers your query.I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14047 Questions

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Black/purple Bruise On Eyelid, On Cholesterol And BP Medication.Suggestion?

Hello,
Thanks for posting your query.
Development of bruise under the eye spontaneously without any history of injury is suggestive of a bleeding disorder. You need to consult your physician to get a complete blood coagulation profile checked with APTT and platelet count to rule out other possible causes like thrombocytopenia.
This can also happen due to a viral infection in the recent past- decreases the synthesis of platelets from the bone marrow.
Presence of any autoimmune disorders also needs to be ruled out.
The treatment is based on the diagnosis and severity of the problem. Treatment is usually done by fluid infusion, steroids, immunoglobulins, blood transfusions, etc according to the severity of the condition.
This problem needs an immediate medical attention and further investigations are entailed. I encourage you to consult a physician who can guide you through the tests.
Hope this answers your query.I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.