Snapshot A 68-year-old woman is bothered by easy bruising. She recalls that even reaching into her purse can cause bruising along the sides of her arms. These bruises resolve on their own, but they bother her cosmetically. She is otherwise healthy and is not taking any medications. Introduction Non-inflammatory purpura presenting as ecchymotic lesions on sun-damaged skin Epidemiology seen in patients > 65 years of age dermal tissue atrophy blood vessel fragility Also known as actinic purpura or solar purpura Associated with sun exposure anticoagulants corticosteroids Presentation Symptoms easy bruising with minimal or no trauma heals on its own Physical exam non-palpable, purple bruises fade to brown (hemosiderin deposits) commonly on sun-exposed skin forearms dorsal hands Evaluation Diagnosis made by clinical history and exam Differential Solar lentigo Geriatric abuse Treatment None Prognosis, Prevention, and Complications Prognosis purpura may resolve after weeks residual hyperpigmentation (brown color) may remain no other health consequences no indication of severe bleeding elsewhere