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. 2023 Oct 30;7(8):102242. doi: 10.1016/j.rpth.2023.102242

Table 1.

Clinical manifestations of disorders that resemble a bleeding disorder—adapted from Thomas et al. [9].

Disorder Clinical manifestation
Achenbach’s syndrome [10] Paroxysmal bruising of the fingers
Amyloidosis [11] Cerebral, cutaneous, intracranial and gastrointestinal bleeding
Angina bullosa hemorrhagica Acute painful blisters in the mount
Autoerythrocyte syndrome (also known as psychogenic purpura and Gardner–Diamond syndrome) [12,13] Recurrent, spontaneous, painful ecchymosis, frequently preceded by a prodrome of pain or itching of the skin
Exercise induced purpura [14] Purpuric patches on the lower limbs after exercise
Hereditary hemorrhagic telangiectasia [15] Recurrent epistaxis, gastrointestinal bleedings, hemorrhage from visceral arteriovenous malformation (eg, cerebral and pulmonary), telangiectasia on skin and mucosal surfaces
Hypothyroidism [16] Often mild mucocutaneous bleeding tendency and rarely severe (eg, hemorrhages after trauma or surgery)
Medications Bruising and bleeding from skin and the gastrointestinal tract
Noonan syndrome [17] Postsurgical bleeding without any coagulation or platelet function abnormality
Osteogenesis imperfecta [18] Variety of bleeding symptoms including bruising, bleeding after interventions and epistaxis
Scurvy [19] Malaise, lethargy, purpura, intracerebral hemorrhage, subperiosteal hemorrhage, perifollicular hemorrhage, corkscrew hairs, poor wound healing and scorbutic gums
Senile purpura [20] Scattered purpuric patches and white pseudoscars with skin atrophy
Skin fragility and connective tissue disorders (eg, Ehlers–Danlos syndrome) [21] Excessive bruising but systemic manifestations of the specific condition
Uremia [22] Bruising and hemorrhage
Vasculitis (eg, Henoch–Schönlein purpura) [23] Purpuric rash and pulmonary hemorrhage