A 17-year-old girl with mild acne, anxiety, and depression presented with a persistent left ankle bruise. The lesion had appeared almost 2 years earlier following an injury. Her history included menorrhagia and frequent nosebleeds. Two months later, the discoloration had not faded, and the girl reinjured her ankle. The patient was taking escitalopram(Drug information on escitalopram), olanzapine(Drug information on olanzapine), and minocycline(Drug information on minocycline).