Non-accidental head injury, be it shaking, impact(s) or a combination of the two, is characterised by subdural and/or subarachnoid haemorrhages with retinal haemorrhages, but minimal or absent external cranio-facial trauma. The classical assault scenario depicts the infant being gripped around the head, face, chest and abdomen and shaken or being gripped by a limb and swung. This gripping might...

of primary treatment under anaesthesia in the first 24 hours after admission to hospital. This group included the 8 fractures with bruising evident at initial presentation. Thirteen other fractures in this group (without evidence of bruising at initial presentation) had developed overt bruising by the time of definitive treatment within 24 hours of hospital admission. Sixteen fractures were rev...

Bruising after venepuncture is undesirable. To verify an apparent increase in bruising after introducing a new venepuncture system in a small district general hospital and to improve the venepuncture service two prospective audits of the incidence and severity of bruising after venepuncture were performed in two groups of 100 consecutive inpatients undergoing venepuncture by phlebotomists. In t...

Autoerythrocyte sensitization syndrome CABS) is a rare purpuric disorder of women characterized by inflammatory and painful ecchymotic lesions unrelated to blood clotting or vascular abnormalities. Gastrointestinal bleeding, hematuria, headache or syncopal attacks may also be observed. Our patient is a 33-year-old woman presenting with recurrent severe painful ecchymotic lesions on both lo...

The Ehlers-Danlos syndrome is an uncommon hereditary disorder of connective tissue. The main characteristics are joint hypermobility and skin hyperextensibility. Easy bruising, poor healing with wide gaping scars, and cardiovascular, gastrointestinal , orthopedic , and occular manifestations may also occur. The syndrome is considered heterogeneous [1] and different variants of the syndrome have...