Easy Bruising in a Patient with Secondary Amenorrhea

Easy bruising in a patient with secondary amenorrhea.

A 33-year-old woman presented with amenorrhea and weight gain of 27.2–31.8 kg, despite diet and exercise, as well as progressively worsening acne. Symptoms began subsequent to a spontaneous abortion 5 years earlier and had become especially concerning during the past year. There was no notable family medical history. The patient did not report taking any prescription or over-the-counter medicat...

Secondary Amenorrhea in a Patient with Common Variable Immunodeficiency

Investigating easy bruising in a child.

life and more often associated with injury or severe illness) or of gingival or mucocutaneous bleeding (suggesting a platelet abnormality or severe Von Willebrand disease) • A history of prolonged bleeding after surgery such as circumcision or tooth extraction • Any pain or joint swelling or reluctance to move a limb (as seen with haemarthroses) • The age of onset of bruising, since bruising is...

Chromosomal abnormality in patients with secondary amenorrhea.

BACKGROUND Secondary amenorrhea is a condition in which there is cessation of menses after at least one menstruation. It is a symptom of different diseases, such as hormonal disturbances which range from pituitary to ovarian origin, as well as chromosomal abnormalities. Knowledge of the distinct cause of secondary amenorrhea is of tremendous benefit for the management and monitoring of patients...

An approach to investigation of easy bruising

Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a specialist? When can it be safely concluded that an underlying bleeding disorder has been excluded, so that further investigations can focus on ruling out suspe...