bruised finger…Achenbachs syndrome.

[Shezian]

have not been diagnosed with anything as yet, but get bruise on my index finger sometimes and goes away within a few days. what worries me is that l sometimes get bruises on my legs without hitting myself. I wonder if it’s the same thing. I have been tested for coagulation and clotting disorders and everything is normal, I am suspecting that l may have gene’s F2 and F3 variants that may be thd reason. I also have a-typical p-anca, which the specialist has ruled out vasculitis as he said the p-anca l have looks nothing like that of vasculitis. The speckles are different under muscroscope of that of vasculitis. I’m at a loss as what it may be.

[OldTed60]

have you looked into Ehlers Danlos Syndrome/ EDS? I ask because I have both EDS (hereditary) and Scleroderma and they are polar opposite connective tissue disorders so hard to get diagnosed with either if you have both. Both can cause similar GI problems eg Gastroparesis and bowel issues. Achenbah’s and spontaneous bruising is much more an EDS thing than scleroderma or Raynaud’s - so you may get more replies if you ask on EDS community. But my doctors are usually baffled or ignore the Achenbach’s once bleeding disorders have been excluded. The worst is trying to do pin prick blood tests in finger tips as can’t get enough blood in phial due to Raynaud’s and can’t get the prick damage to settle down for ages due to Achenbach’s!

[Shezian in reply to OldTed60]

thanks but isn’t EDS symptom being very flexible which l am not.

[OldTed60 in reply to Shezian]

Well there’s lots of types of EDS and yes to stretchy but not always balletic or joints - more skin / connective tissue - so very easy bruising/ haematomas. I’m not obviously flexible now as too much arthritis but produce magnificent bruising and also have some kind of secondary Vasculitis relating to Sjögren’s syndrome

[OldTed60 in reply to Shezian]

“EDS TypesEhlers-Danlos syndromes are a group of connective tissue disorders that can be inherited and are varied both in how they affect the body and in their genetic causes. They are generally characterized by joint hypermobility (joints that stretch further than normal), skin hyperextensibility (skin that can be stretched further than normal), and tissue fragility. (For information about the hypermobility spectrum disorders, please visit “What is HSD”.)The Ehlers-Danlos syndromes (EDS) are currently classified into a system of thirteen types. Each EDS type has a set of clinical criteria that help guide diagnosis; a patient’s physical signs and symptoms will be matched up to the major and minor criteria to identify the type that is the most complete fit.There is substantial symptom overlap between the EDS types and the other connective tissue disorders including hypermobility spectrum disorders, as well as a lot of variabilities, so a definitive diagnosis for all the EDS types—except for hypermobile EDS (hEDS)—also calls for confirmation by testing to identify the responsible variant for the gene affected in each type.”

ehlers-danlos.com/eds-types/

[Shezian]

thanks for those explanations. I don’t think l have EDS, but sone kind of connective tissue problem. Since menopause l have noticed my skin bruises and l get these random red dots, like 2-3 and then it all goes away. It happens aboit twice per year. Just worried it’s not sone type if vasculirus given l have A-Typical P-anca, but the antigen is absent meaning it’s not showing as vasculotus. If it was MPO positive then it would point to vasculitus but it doesn’t seem to be that way. I just want to know what else cause bruises, other than things like leaukemia and bone marrow cancer. Hopefully l don’t have them. Yikes!!!

[OldTed60 in reply to Shezian]

Well lots of people bruise easily especially as we age and our skin thins. I certainly wouldn’t read too much into Achenbachs - I think it’s more common than the medical community are aware. I only learnt about it here or other forum when I had it badly first time and asked. I then joined an EDS community and saw many more posts of this on fingers and spontaneous bleeds under skin. Due to having scleroderma and Sjogrens and being very immune compromised I was quite alarmed at first but a just used to it now.

[OldTed60 in reply to Shezian]

PS EDS is a group of connective tissue disorders! And don’t underrate how serious some can be. You’d have other more worrying symptoms and signs if you had leukaemia or bone marrow cancer I would think. Get your bloods checked if you do although it sounds like you’ve been pretty well investigated for blood work.

[Shezian]

thx, I’m actually relieved that’s it’s only Achenbachs syndrome and nothing more seriouse as far as l know so far. I had a huge massive bruise on my bottom 2 years ago did not hurt one bit, had every test u der the sun by the haematologist and it was normal, then l remember l missed the last step in my house and fell on my bottom after a few wines m, that could have be it, but the strange thing is these bruises that l get do not hurt. You would think a huge bloody bruise would hurt.

[OldTed60 in reply to Shezian]

Hmm not that strange either, “a couple of wines in” and in a part of the body with the most padding!

[Shezian]

thx for your input. Hopefully it’s nothing seriouse. My bloods have been good except at one point l has low NK cells just below normal and my B cells were just in the normal range on lower end T cells were normal. That waa 2 years ago and last time l had them checked they only slightly went up in the the normal range but still in lower end. I also get these reds spots. They come in 2 or 3 at a time and then go away. Sometimes they leave a mark. Usually on lower leg and now l have it in my foot. Started off with 2 lumps that turned red.

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