NSAIDs and steroids like prednisone can also cause severe bruising by disrupt platelets, which can cause black and blue marks to appear, even over something as simple and benign as scratching an itch.Normal blood clotting can also be affected by the medications we take like aspirin.Even simple little acne I get will now take longer than normal to heal and then leave a mark that is visible months later. A scar remains for months and in some cases, forever. Be it a bruise, a mosquito bite or the discoid rash I get from the lupus. I also experience easy scarring from anything that happens to my skin. “Did you see this four-inch bruise caused by NOTHING?!” Before my diagnosis, doctors would either blame whatever medication I was on or check my blood platelets to rule out cancer, which it never was, thankfully, but I never received any solid explanation either.
I have asked doctors over the years, and there never seems to be any great concern expressed for what clearly is not normal as far as I, the patient, am concerned. Sometimes severe itching occurs before the lupus bruising and I am left wondering if I caused the massive bruise by simply scratching my itch, or if the itch was the bruise actually forming (chicken or egg, I have no idea which came first). Lupus appears to give me a visible beating at times, with multiple bruises popping up all around my body for no apparent reason or injury. A purple butterfly may be the universal sign for lupus, but sometimes black and blue seems to be a more accurate color for the disease.
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