A 78-year-old patient recently noticed dark blotches on his forearms and on the backs of his hands.He seems to bruise even when a phlebotomy is performed using excellent technique with no problems encountered.No other symptoms exist,and all laboratory tests are normal.Which of the following is the most likely diagnosis?

Question

Quizplus · Accepted Answer

Senile purpura is the most likely diagnosis for this 78-year-old man who only recently began to notice abnormal bruising and/or bleeding.The hereditary abnormalities would have presented earlier in life.Paraproteinemia and amyloidosis would demonstrate other abnormal clinical laboratory testing.

A 78-Year-Old Patient Recently Noticed Dark Blotches on His Forearms