Causes of subcutaneous hematoma

This is an automatically translated article.


Most cases of hematoma under the skin are not too serious. However, skin with hematoma is still a sign that the body is suffering and needs proper care and handling.

1. What is a subcutaneous hematoma? A subcutaneous hematoma is a condition in which the capillary wall is damaged, causing blood to flow into the surrounding tissues but not continuously, forming only blue or purple bruises.
Bruising under the skin can cause irritation and inflammation, the extent of which depends on the location and size of the bruise. Some signs to help identify hematoma under the skin are:
Red swelling (blue bruises, bruises); Painful sensations; Warm, slightly hot. In addition, you may also experience other signs not mentioned. However, it should be noted that there are many cases of unexplained bruising on the skin (especially in thin skin areas such as thighs, biceps...). They did not get bumped, did not exercise vigorously, did not use drugs, even after waking up, they saw the appearance of bruises. Experts warn that these "mysterious" bruises can be a manifestation of dangerous diseases, so patients should absolutely not be subjective.

2. Causes of hematoma under the skin Any physical impact, from a minor collision or car accident, to a sports injury ... has the potential to cause a subcutaneous hematoma. Also some other factors that can lead to this condition are:
2.1. Lack of nutrients When there is a deficiency of some vitamins, the body may appear bruises. Some of the missing vitamins include:
Vitamin B12: contributes to the production of red blood cells; Vitamin K: has the effect of synthesizing blood clotting factors; Vitamin C : promotes cell production activity; Vitamin P: participates in the production of collagen, increases capillary thickness to withstand the pressure of blood flow. If there is a deficiency of these vitamins, blood vessels will be weak and fragile, easily causing bruises.
2.2. Due to the use of drugs that affect the blood The use of certain drugs that affect the blood can also cause bruises. Some related drugs can be mentioned as: antidepressants, pain relievers, iron-containing drugs, anti-asthma drugs. In particular, one of the typical drugs that cause this condition is Aspirin.
Therefore, if you are taking a medicine and you see a hematoma under the skin, you should see a doctor for timely adjustment and to avoid internal bleeding.

Tụ máu dưới da có thể do va chạm nhẹ hay tai nạn xe cộ
Tụ máu dưới da có thể do va chạm nhẹ hay tai nạn xe cộ

2.3. Blood diseases Many studies show that blood diseases (inherited coagulation disorders, thrombocytopenia...) can cause bruises under the skin. These cases may be accompanied by symptoms of leg swelling, leg pain, bleeding gums, nosebleeds or exposed capillaries on the body. If you notice the above signs, you should see a doctor immediately for timely intervention.
2.4. Leukemia There is one form of blood cancer that affects the blood flow and bone marrow in the body. According to experts, this type of cancer makes the body more prone to bleeding gums and prone to hematoma under the skin.
2.5. Hormonal Imbalances One of the other common causes of subcutaneous hematomas is a hormonal imbalance. Women entering menopause are often at risk of estrogen deficiency. This is what causes the blood vessels to weaken, damage and bleed. At the same time, as we age, the capillary system will weaken and lose its elasticity. In this case, bruises often appear on the legs.

2.6. Diabetes: Hematomas under the skin can also implicitly warn of diabetes because this type of disease often negatively affects blood circulation. In addition to bruises, patients will also experience other symptoms such as fatigue, thirst, impaired vision... When you see a bruised hematoma under the skin along with the above signs, see a doctor. for prompt treatment.
2.7. Other causes In addition, the appearance of abnormal subcutaneous hematomas can also be caused by other causes such as:
Side effects of anticoagulants (Warfarin, Clopidogrel, Aspirin, Dipyridamole...) Some infections or autoimmune diseases such as: Finger infection, onychomycosis, ankylosing spondylitis, compartment syndrome... Subchondral hematoma in pregnant women (25% rate). Most hematomas range from small to regressive and are rarely dangerous. However, blood clots or bleeding during the third trimester of pregnancy can be a sign of problems like placenta previa and placenta previa and are considered medical emergencies.

Nhiều nghiên cứu cho thấy các bệnh lý về máu có thể gây ra vết tụ máu bầm dưới da
Nhiều nghiên cứu cho thấy các bệnh lý về máu có thể gây ra vết tụ máu bầm dưới da

3. How to diagnose a subcutaneous hematoma? To check for a subcutaneous hematoma, a physical exam and a thorough medical history are used. There is currently no specific blood test to evaluate bruises. However, depending on the situation, some necessary tests may include:
Complete blood count (CBC); Assessment of metabolic index; Evaluation of the coagulation index; Functional testing. In addition, some imaging tests may sometimes be ordered, such as a CT scan or an MRI scan.
There are many causes of hematoma under the skin, so if you see bruises that do not improve or are accompanied by other dangerous signs, you should go to a medical facility for a specialist examination. department and provide treatment when necessary.
Vinmec International General Hospital is the address for examination, treatment and prevention of diseases. When performing the examination process at Vinmec, customers will be welcomed and used modern facilities and equipment along with perfect medical services under the guidance and advice of experts. Good doctors, well-trained both at home and abroad. Therefore, when there are prolonged bruises, subcutaneous hematomas or other abnormalities, you can go to Vinmec to be examined, find out the cause and treatment plan.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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