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Ecchymosis: A Photo Essay

Ecchymosis: A Photo Essay

This large macular area of ecchymosis on the thigh of a 26-year-old woman was found to be a sign of underlying acute lymphocytic leukemia. She had denied any trauma to this and other affected sites and was ingesting no suspect medications or dietary supplements. In the absence of clear cause, “spontaneous” bruising should be considered an urgent medical problem.

acute lymphocytic leukemia
Courtesy of Ted Rosen, MD.

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