Bruises are typically caused by an injury, such as a fall or a knock, while ecchymosis is not always a result of trauma. Diseases and other conditions can also cause ecchymosis. The main symptom of ecchymosis is discolored skin, caused by the bursting of capillaries and leakage of blood beneath the skin. The color of the patch corresponds to how old and severe the injury is.
When the leakage is recent, the area of ecchymosis may appear dark blue, black, or purple, but it will fade to yellow or green over time. Ecchymosis alone is not typically a cause for concern.
Like bruising, it is most common on legs and arms, and it often results from minor injuries sustained, for example, by bumping into furniture. Ecchymosis also frequently appears in areas where the skin is thin, such as the eyelids or lips. It is common to see ecchymosis and bruising in highly active children and in older adults because the skin thins and the capillary walls grow more fragile with age.
A fall, knock, or bump into a hard object can rupture or damage blood vessels. Ruptured blood vessels cause blood to pool, leading to ecchymosis.
These injuries also frequently lead to bruising. Ecchymosis is different from bruising because it can result from factors other than injury.
These include:. Most of the time, patches of ecchymosis will go away without treatment. A person can reduce any pain or swelling with a cold compress or over-the-counter anti-inflammatory drugs, such as ibuprofen. If a person has not had an injury and the cause of ecchymosis is not obvious, a doctor may perform some diagnostic tests. Depending on the severity of the bruising, they may recommend an X-ray or MRI scan. Ultimately, ecchymosis may indicate some amount of internal bleeding.
High Priority Alert. Close alert. Informational Alert. Eye Injury. Is this your child's symptom? Small cuts heal on their own. Deep cuts or ones that go through the edge of the eyelid need sutures. Bruise of the Eyelids. Also called a "black eye". The swelling and bruise get worse for a few days. Then it will go away on its own over 2 -3 weeks. It's normal for the bruise to change colors as it heals.
Subconjunctival Hemorrhage. This is a flame-shaped bruise of the white part sclera of the eyeball. It's bright red. It's caused by a scratch to the sclera. A contusion kun-TOO-zhun of the eyelid is an injury to the skin and underlying tissue of the eyelid.
Most people call this type of injury a black eye. A contusion, or bruise, forms when soft tissue in the body is crushed but the skin doesn't break. When this happens, blood from broken capillaries small blood vessels near the skin's surface may leak out under the skin. With no place to go, the blood gets trapped, often forming a red or purplish mark that hurts when you touch it.
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