Blood disorders
Hello, doctor.
Recently, I noticed that I have bruises around my knees.
The last time, there were about 6-7 small bruises on my knee, not large ones.
They eventually faded away.
Last week, I saw 4 bruises, and they went away as well.
Today, I noticed one bruise on each side of my knee, but they don't hurt when I press on them.
I often crawl on my knees while taking care of my child (since the child is low to the ground, I wonder if this is the reason).
I was tested for anemia last year, and the doctor said there was no issue.
I would like to ask if it is possible to develop leukemia within a year? Would leukemia cause bruises to be concentrated around the knees? Thank you.
Jie, 20~29 year old female. Ask Date: 2019/04/10
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a hematology-oncology specialist and an immunology-rheumatology specialist for evaluation.
The doctor will perform a physical examination and determine whether a biopsy or blood tests are necessary.
Treatment, prescriptions, or diagnoses cannot be provided without a personal examination by the physician.
Thank you for your inquiry.
Changhua Hospital cares about you.
Director Lai Yi-Cheng, Department of Radiation Oncology.
Reply Date: 2019/04/10
More Info
When it comes to understanding bruising and its potential connection to blood disorders, including blood cancers like leukemia or lymphoma, it is essential to approach the topic with a comprehensive understanding of both normal physiology and the pathological conditions that can lead to such symptoms.
Bruising, or ecchymosis, occurs when small blood vessels under the skin break, allowing blood to leak into the surrounding tissue. This can happen due to various reasons, including trauma, certain medications (like blood thinners), or underlying health conditions. In your case, the frequent bruising around your knees could be attributed to your activities, especially if you are often using your knees to move around while caring for your child. This kind of repetitive motion can lead to minor injuries that may not be immediately noticeable but can result in bruising over time.
However, it is also important to consider the possibility of underlying blood disorders. Blood cancers, such as leukemia, can lead to symptoms like easy bruising or bleeding due to a decrease in the number of platelets (thrombocytopenia) or other blood cell abnormalities. In leukemia, the bone marrow is often compromised, leading to insufficient production of healthy blood cells. This can manifest as increased bruising, frequent infections, or fatigue.
That said, it is crucial to note that bruising alone is not a definitive indicator of blood cancer. Many benign conditions can cause bruising, and the presence of bruises does not automatically mean that a serious condition is present. In your situation, since you mentioned that you had a blood test last year that indicated no issues with anemia, it is less likely that you have developed a blood cancer within such a short time frame, especially if you have not experienced other significant symptoms such as unexplained weight loss, persistent fatigue, or recurrent infections.
If you are concerned about the bruising, it would be prudent to consult with a healthcare professional, preferably a hematologist, who can perform a thorough evaluation. This may include a complete blood count (CBC) to assess your platelet levels and other blood parameters. If there are any abnormalities, further testing may be warranted to rule out any serious conditions.
In summary, while bruising can be a symptom associated with blood disorders, it is not exclusive to blood cancer. The context of your bruising, including your activities and any other accompanying symptoms, plays a significant role in determining the underlying cause. Regular check-ups and open communication with your healthcare provider are key to addressing any concerns you may have about your health. Remember, early detection and intervention are crucial in managing any health condition effectively.
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