Bruising like crazy. : Has anyone experienced... - PMRGCAuk

PMRGCAuk

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Bruising like crazy.

Merryfield profile image
45 Replies

Has anyone experienced frequent and easy bruising from being on steroids? My lower legs, esp my right leg, are covered with small and one a bit larger bruises. They are not painful and seem to pop up out of nowhere. Can it be the diabetes 2? Boy are they unsightful, along with my two knee surgery scars, giant age spots and a recent shin scrape.

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Merryfield profile image
Merryfield
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45 Replies
piglette profile image
piglette

I normally look like I have been in a pub brawl! Caused by the steroids.

Merryfield profile image
Merryfield in reply to piglette

You, too! Every time I post about a weird side effect of steroids, it turns out I am not crazy! Black facial hair (and now long hair on my hands and fingers!), moon face, diabetes 2, elevated bp and now bruising. Yet I am doing laundry, running errands, walking the dogs and making soup. (With a couple of hours of lying down every afternoon.) You and others are exercising, gardening, painting, traveling, advising. All of us are amazing.

piglette profile image
piglette in reply to Merryfield

You haven’t had the purpura yet then? That really adds to the bruising and makes the brawl look really impressive!

Merryfield profile image
Merryfield in reply to piglette

No purpura yet. Egads. You have it? So sorry!

piglette profile image
piglette in reply to Merryfield

That makes me look as if I have been fighting with a wild animal!!

Merryfield profile image
Merryfield in reply to piglette

Lord, Purpura looks dire.

piglette profile image
piglette in reply to Merryfield

I say I have been pruning the roses.

Merryfield profile image
Merryfield in reply to piglette

pruning roses or wading thru thorns??

Janstr profile image
Janstr

I found it improved as my pred dose reduced.

Merryfield profile image
Merryfield

That is good news. Am at 22.5 mgs of methylprednisolone. Will go down another .5 end of April.

Bridge31 profile image
Bridge31

Every time I even slightly bump or bang my arms or my legs and the damage takes forever to fade. The aftermath discolouration on my shins is permanent now. As Piglette says it looks like I’ve been in an accident. I can no longer wear dresses in the summer unless they are ankle length but “worse things happen at sea “ as they say so we soldier on.

I’m currently on 5 ( have been for months ) and I can’t say being on a low dose has made any difference.

Exflex profile image
Exflex in reply to Bridge31

regarding the discolouration, my GP said it’s the iron in your blood. When you bruise there’s an internal bleed, and over time repeated bruising leaves the iron (purple) discolouration. As well as 1.25mg of Pred I also take 75mg Aspirin. In my case it’s the blood thinning properties of Aspirin that is causing the bruising. I mentioned this to my new GP who said “the medication’s working then…”

Lyndaki profile image
Lyndaki in reply to Bridge31

I agree about lower dose not making any difference! 🥴 I’m on 2mg Prednisolone & the slightest catch on my forearms or shins results in a bruise! I often wake up with a bruised bicep where a nail has caught it in the night! Hey ho, I’m glad maxi dresses are fashionable, & thanks to living in Spain, the suntan covers the mess on my arms slightly!

jolaine75 profile image
jolaine75 in reply to Lyndaki

Yes I am the same.I have bruised too the least thing up comes a bruise.

Merryfield profile image
Merryfield in reply to Lyndaki

Live on, maxis!

Merryfield profile image
Merryfield in reply to Bridge31

oh bummer

Merryfield profile image
Merryfield in reply to Bridge31

Sorry to hear, Bridge. If it weren’t for the difficulty in using the loo, I might buy some body stockings.

Legsandmore profile image
Legsandmore

yes, me too.

My legs bruise so easily, and l am struggling with excess facial hair. l had suspected it was the Prednisone, the drug that goes on giving.

Merryfield profile image
Merryfield in reply to Legsandmore

Yes. Facial hair. And embarrassingly long hair on fingers and hands. 😬

Koalajane profile image
Koalajane

For some strange reason I only get it on my arms

Merryfield profile image
Merryfield in reply to Koalajane

hmm

agingfeminist profile image
agingfeminist

bruises appear without even the slightest knock...also nose bleeds...but it all stopped as I got on lower doses.

By the way it is impressive what some people achieve physically when PMR is under control but there are some of us who are much less impressive. The effects of steroids/PMR are very individual. After almost 4 years and now on a dose of 4 mg I am unable to walk further than a few hundred yards (though I walk most days). Exercise does my wasted muscles no good.

You can help combat the pred induced diabetes by cutting out virtually all carbs and no sugars (or sweeteners) only carefully selected whole fruit (occasionally and no fruit juices)

sending you all good wishes for your PMR journey

Merryfield profile image
Merryfield in reply to agingfeminist

Thank you Aging. I have been carb naughty in March on a trip. Gotta buckle down. But sorry about your weakness. Some walking still good. I hear you about muscles. I am losing weight due to diabetes meds but the fat remains. Keep plugging. 🙏

agingfeminist profile image
agingfeminist in reply to Merryfield

Thank you for your kind reply and encouragement

PMRpro profile image
PMRproAmbassador

While I was on pred above 10mg a day my shins were permenently bruised - I am also on anticoagulant therapy which didn't help of course. It is a common effect of long term pred - your skin thins as the connective tissue reduces and so the capillaries are exposed and become fragile, causing bruising.

And I see you are on methylpred - all those side effects appeared on methyl pred and went or at least improved when I was switched back to prednisone.

musicality profile image
musicality in reply to PMRpro

Does anyone know if skin (connective tissue) and muscle breakdown after long term usage of steroid improve with lower dosage or stopping them altogether?

PMRpro profile image
PMRproAmbassador in reply to musicality

I am now at 8mg pred and Actemra and the bruising is pretty much gone. I think my skin has improved too in the last year since I started Actemra - and that is after more than 10 years at above 10mg, for the last 2 or 3 at 15-20mg

Merryfield profile image
Merryfield in reply to PMRpro

Actemra for RA only?

PMRpro profile image
PMRproAmbassador in reply to Merryfield

I don't have RA. I have had PMR for 18 years and been on pred for nearly 14 years. My rheumy has the option to use it, so he is.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to musicality

I’ve had 3 joint replacement surgeries since finishing Pred in 2016 … all scars have healed extremely well and muscles back to pre Pred days (allowing for age of course😳)

Merryfield profile image
Merryfield in reply to DorsetLady

Dorset, what a great outcome.

Merryfield profile image
Merryfield in reply to PMRpro

Thanks, Pro. I will see gp in May and try to go back on pred.

Nc74TR85 profile image
Nc74TR85

Yes, I have loads, I only have to knock something gently and red bruising comes that take ages to go away. My arms are covered with them

Merryfield profile image
Merryfield in reply to Nc74TR85

So sorry. Thank goodness for sleeves and tights.

sampete profile image
sampete

This was my leg when I came out of theatre after a hip replacement. Obviously they're not very gentle with you when you're asleep. One was so bad it had to have a dressing on it.

Leg
Merryfield profile image
Merryfield in reply to sampete

Holy moly. That is some bruising. How is it now?

bluegirl7 profile image
bluegirl7

Hi Sadly the steroids make our skin so thin that the veins are near the surface so bruises happen all the time. If I hold a bag too tightly I get them on my fingers. I started on Pred in 2018. Now down to 1 mg but bruises are everywhere. I am over 70 and skin does not get thicker. So I do all sorts to hide legs etc. I do self tanning and leg makeup. With gowns I wear long gloves etc. It is an unfortunate side effect. Good luck.

Merryfield profile image
Merryfield in reply to bluegirl7

You are making it work. I only expose my arms in dire heat.

bluegirl7 profile image
bluegirl7 in reply to Merryfield

seriously self tan on legs and then use Sally Hansen leg makeup It is water proof and doesn’t stain clothing.

Twopies profile image
Twopies

my skin is so thin you can see every single vein, I bruise everyday all day. My skin looks nothing like my friends who are my same age and older—nothing.

Merryfield profile image
Merryfield in reply to Twopies

We have what we have. I always marvelled at girls who had smooth unblemished legs. Tights and in the heat, shameless exposure of battered legs. Oy Vay.

2013mayo profile image
2013mayo

hi,

Have them all the time, purpura, they look hideous, I can no longer go out without heavy duty tights or leggings, so upsetting, I also get them on my arms. I’m also on low dose pred, 5mg so it’s not made any difference, my doctor has just told me I must take the clopidogrel (blood thinner) which I stopped taking because of the purpura.

I hope it does get better for all of us 🤞

PMRpro profile image
PMRproAmbassador in reply to 2013mayo

I had both purpurae on arms and bruises on shins - all gone with Actemra and lower pred.

2013mayo profile image
2013mayo in reply to PMRpro

my consultant wants me to cut down on pred but every time I do I get poorly, it seems 5mg holds everything at bay, not been offered actemra ( I might of a while ago, can’t remember ). Maybe if I can ever get below 3mg it may help?

Merryfield profile image
Merryfield in reply to 2013mayo

Do darned sorry. Pro seems to have had relief.

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