Unexplained Blood Marks in the Groin: Causes and Concerns - Dermatology

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Bloodstains in the groin area?


Recently, I have noticed unexplained bruises between my groin and thighs extending to my abdomen.
They feel slightly indented to the touch, and the marks are getting larger, but they are not painful or itchy.
What could be the cause?

A Miao, 20~29 year old female. Ask Date: 2006/11/09

Dr. Hong Zhengsheng reply Dermatology


Hello, Ah Meow: "…blood spots…depressions…", this could potentially be caused by several common conditions: skin atrophy, striae, subcutaneous fat disorders, or subcutaneous vascular abnormalities… I apologize that based on your description, it is currently not possible to determine your exact condition.
Answers found online can only speculate based on the description and experience, and cannot provide a definitive diagnosis and treatment like an in-person consultation.
I recommend that when you notice the symptoms described, you should promptly visit a public hospital under the Department of Health in your city or county and consult with a dermatologist.
All the physicians here are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/11/09

More Info


Unexplained blood marks in the groin area can be concerning, especially when they appear without any apparent cause. There are several potential explanations for these symptoms, and it is essential to consider various factors, including your medical history, any recent activities, and other accompanying symptoms.

Firstly, the appearance of blood marks or bruises can result from minor trauma that you may not have noticed. Sometimes, activities such as vigorous exercise, lifting heavy objects, or even bumping into something can cause small blood vessels to break, leading to bruising. However, if you are certain that there has been no trauma, other underlying conditions may need to be considered.

One possibility is a bleeding disorder. Conditions such as thrombocytopenia (low platelet count), hemophilia, or other clotting factor deficiencies can lead to unexplained bruising or bleeding. It would be prudent to have a complete blood count (CBC) performed to check your platelet levels and other blood parameters. If your platelet count is low, further evaluation may be necessary to determine the cause.

Another consideration is the possibility of vascular issues. Conditions such as vasculitis (inflammation of blood vessels) can lead to skin changes, including bruising or blood marks. Vasculitis can be associated with systemic diseases, such as autoimmune disorders, and may require further investigation through blood tests and possibly imaging studies.

Infections can also cause skin changes, including petechiae (small red or purple spots) or larger areas of bruising. Conditions like cellulitis or other skin infections may present with redness, swelling, and tenderness, but if there is no pain or swelling, this may be less likely.

Additionally, certain medications can increase the risk of bleeding or bruising. If you are taking anticoagulants (blood thinners) or have recently started a new medication, this could contribute to the appearance of blood marks. It is essential to review your medications with your healthcare provider.

Given that the marks are increasing in size and you are experiencing no pain or itching, it is crucial to seek medical attention. A healthcare professional can perform a thorough examination, review your medical history, and order appropriate tests to determine the underlying cause of these symptoms. Depending on the findings, they may refer you to a specialist, such as a hematologist, for further evaluation.

In summary, unexplained blood marks in the groin area can arise from various causes, including minor trauma, bleeding disorders, vascular issues, infections, or medication side effects. It is essential to consult with a healthcare provider for a comprehensive evaluation to identify the cause and determine the appropriate course of action. Early diagnosis and management can help address any underlying issues and prevent potential complications.

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