the Normalcy of a Purple Appearance in the Coronal Sulcus - Urology

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Issues related to the coronal sulcus?


Hello, doctor.
Recently, I noticed that the coronal sulcus appears slightly purplish while showering, but it is not painful or itchy.
Is this phenomenon normal?

Xiao Guan, 10~19 year old female. Ask Date: 2018/02/05

Dr. Du Shixi reply Urology


Hello: The coronary sulcus appears slightly purplish, which may be related to cold weather and blood circulation.
This is not very uncommon, but if there is redness, skin breakdown, or abnormal protrusions, it should be evaluated.
Wishing you good health.

Reply Date: 2018/02/05

More Info


The appearance of a purple discoloration in the coronal sulcus, which is the groove that separates the frontal and parietal lobes of the brain, can be concerning, but it is essential to understand the context and potential causes of this observation. First and foremost, it is crucial to clarify that the coronal sulcus is an anatomical feature of the brain and is not typically visible or assessable during routine activities like bathing. Therefore, if you are referring to a visible discoloration on the skin or a different area of the body, it is essential to specify that.

If the purple appearance you are noticing is on the skin, it could be due to several benign reasons. One common cause of skin discoloration is bruising, which occurs when small blood vessels under the skin break, leading to bleeding and a subsequent purple or blue appearance. This can happen due to minor trauma, even if you do not recall any specific injury. Other potential causes could include:
1. Vascular Changes: Conditions such as venous insufficiency can lead to pooling of blood in the veins, causing a purplish appearance, especially in the lower extremities.

2. Skin Conditions: Certain dermatological conditions, such as petechiae or purpura, can cause purple spots on the skin due to bleeding under the skin. These conditions may require further evaluation to determine the underlying cause.

3. Temperature Changes: Exposure to cold can cause blood vessels to constrict, leading to a temporary change in skin color. This is usually not a cause for concern and resolves once the body warms up.

4. Allergic Reactions: Sometimes, allergic reactions can cause localized swelling and discoloration, which may appear purple.

5. Medications: Certain medications can affect blood clotting and lead to easy bruising or discoloration of the skin.

If the discoloration is not associated with pain, itching, or other symptoms, it may not be a cause for immediate concern. However, it is essential to monitor the area for any changes, such as increased size, pain, or the development of additional symptoms.

In terms of when to seek medical advice, consider consulting a healthcare provider if:
- The discoloration persists or worsens over time.

- You notice additional symptoms, such as swelling, pain, or changes in sensation.

- You have a history of bleeding disorders or are on anticoagulant medications.

In summary, while a purple appearance in the skin can be benign, it is essential to consider the context and any accompanying symptoms. If you have concerns about this discoloration, it is always best to consult with a healthcare professional who can provide a thorough evaluation and appropriate guidance based on your specific situation.

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