Discussions By Condition: I cannot get a diagnosis.

Ring-like unexplained bruises on infant

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: Anonymous
  • January 16, 2009
  • 02:32 PM

My 5 month old has been getting ring-like bruise on his left cheek, and his left arm. They are all the same size and perfectly round. Not sensitive to touch. I brought him to the hospital and they focused on child abuse or ?trauma. I'm a very protective mother and don't lose sight of him. There is no way he could've gotten these from trauma. They ran some blood test to check his platelets and coagulation and everything came back normal. I need to know what other things to ask of the doctor. I'm afraid they are placing so much emphasis on trauma and could overlook real possible medical explanations for this. I'm 100% sure it's not due to trauma. Please help me figure out what this could be. I'd just like to know what to ask his doctor it could be so that he could run other tests. He is otherwise normal. Happy and playful as always... No temperature and no changes in eating habits or anything.

Thanks,

K

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  • I am not sure of exactly how the bruises look on your childs face and arm, but is there any chance that it could be ring worm? I was looking on a search engine about this when my daughter was young, I was worried that she had it. After searching and reading up, I realized that she was allergic to Dreft, and it was causing circle like clear scales. I did notice on the web that some of the "Ring worm" pictures did look like bruised circles. Another thought. Is there anyway that your baby may lay on something to cause the bruising of delicate skin? buttons to clothing, your earring? a certain toy?.. if you can try to describe these circles a little better,are they just an outline?size and do they ever fade or turn colors like a bruise? how long have they been there? did they both apppear on same day? cause maybe someone else might know a little more. I hope you find out soon. ill check back.
    ShellyLynn0210 7 Replies
    • January 17, 2009
    • 05:34 AM
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  • Ecchymosis or bruising, by nature, tends to have slightly irregular or diffuse borders at the affected area and most commonly arises from blunt trauma. Since the areas are not sensitive to touch, I would not think that they are associated with actual bruising of the tissues since pain is a very common sign and particularly so in the instance of infants who do not practice vocal restraint. Your description would suggest the appearance to be ongoing and I would ask whether they diminish and reappear in proximation or is this a single manifestation? I too, would like to know the color of this bruising and whether it blanches when pressed? Generally, it is very uncommon for non-mobile infants to demonstrate bruising so I would not be surprised that suspicions such as those described are arising if indeed your doctors are noting the areas to represent actual ecchymosis. If the cause is due to something like ringworm, a fungal-based skin infection common among children, there is flaking of the skin at the site of the lesions which ultimately appears and is responsible for the spread to other areas of the skin. Since dermatological diagnosis is based equally on visual recognition, I'm afraid that it represents a handicap in this instance. If the areas are precisely the same size and perfectly round, I'm more inclined at this point to suggest it's due to compression by an object through prolonged contact, ie sleeping against it. The lab studies don't seem to indicate any type of coagulopathy, so it's unlikely to be due to anything systemic at this point. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • January 17, 2009
    • 01:16 PM
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  • I took him to see a dermatologist this morning and he concluded that he has urticaria. But he showed me pictures and I'm not convinced. He lays on his right side and the bruises are on the left side. He doesn't wear anything with buttons, nor do I have toys in in crib that could cause these bruises. They showed up on Wednesday, and are sort of going away now... They look as though it would hurt if touched but nothing. I recall getting painless bruises in the past. Could it be something I could've passed down to him? I got all of the critical tests done during my pregnancy, but just wondering...could these be due to a illness/ disease? I also nurse him, could it have something to do w/ something I would take (ie. medications, bc, etc.) They literally look like rings, but are not raised. They don't change when pressed. I also read that unexplained bruising can happen from taking ibuoprofen or as a result of being sick. My son had a flu-like virus and I did use both tylenol and Motrin to treat his symptoms (fever, etc.) Could it be as a result of this? The most puzzling thing of all is that they are all pretty similar in size and all on his left side. I say painless because he doesn't react to me pressing on it. He's too young to vocalize pain, but it looks painful enough for him to at the very least act fussy or show discomfort. He doesn't do either. What are your thoughts? Thanks, K
    Anonymous 42789 Replies
    • January 17, 2009
    • 09:31 PM
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  • So I just wanted to update you all... I picked up some toys from the babysitter's house and noticed on Saturday evening that he was playing with one that had multiple rings. I suspected then, that it might be what did it but continued to let him play with it, supervised of course. ...I witnessed him pull it into his hand and down his arm, and just left it there. It all makes perfect sense now. It was a toy he must have layed on for a period of time. I was so sure because I had asked the babysitter and because I personally watch him like a hawk. I know she's the same way, but obviously at one point, she must have not had her complete attn. towards him. Which isn't a terrible thing. I think this is something that could happen to anyone. I'm so glad and relieved that it's not something serious. Thanks for your responses.
    Anonymous 42789 Replies
    • January 22, 2009
    • 03:55 PM
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  • Yeeeaaa.... isnt that the BEST finding out that it is nothing serious... I am a stay at home mom, and know my daughter well, but the occasional something always happens and I have to say ok, lets not think medical right away..think.... what has happened? and always brings a smile when you find out that its nothing...and somthing simple.. So happy for you...:D
    ShellyLynn0210 7 Replies
    • January 22, 2009
    • 07:01 PM
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