Post-Cryotherapy Changes: Is Purple Skin Normal? - Dermatology

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Cryotherapy for Warts


Last Monday, after undergoing cryotherapy, I developed a blister.
The nurse said the blister would absorb on its own.
This week, the blister has disappeared, but it has changed from the original white swollen blister to a flat purple area.
I would like to know if this is a normal phenomenon.

Xiao Qiu, 20~29 year old female. Ask Date: 2012/08/01

Dr. Li Yufen reply Dermatology


Hello: It is normal for old blisters to have bleeding inside, which can cause them to appear dark purple in color.
Thank you.
Wishing you peace and happiness.

Reply Date: 2012/08/01

More Info


After undergoing cryotherapy, it is not uncommon to experience various skin changes as part of the healing process. The appearance of a purple discoloration following the resolution of a blister is something that can occur and is generally considered a normal part of the healing process.
Cryotherapy involves the application of extreme cold to destroy abnormal tissue, such as warts, skin tags, or precancerous lesions. This treatment can lead to localized inflammation, which is a natural response of the body to injury. Initially, you may notice swelling and the formation of blisters, which are filled with fluid as the body works to heal the affected area. The fluid in these blisters is typically serous, meaning it is clear and contains proteins and other substances that aid in healing.

As the blister resolves, the skin underneath may appear red or purple. This discoloration is often due to the underlying blood vessels reacting to the trauma caused by the cryotherapy. The purple color can be attributed to bruising, which occurs when small blood vessels break and leak blood into the surrounding tissue. This is a common occurrence after any procedure that causes trauma to the skin, including cryotherapy.

Typically, the purple discoloration will fade over time as the body reabsorbs the blood and the healing process continues. The duration of this discoloration can vary depending on individual healing rates, the extent of the treatment, and the specific area of the body treated. In most cases, the skin will return to its normal color as healing progresses.

However, it is essential to monitor the area for any signs of complications. If the purple discoloration is accompanied by increased pain, swelling, or signs of infection (such as pus, increased warmth, or fever), it is crucial to seek medical attention. These symptoms could indicate that the healing process is not proceeding as expected and may require further evaluation by a healthcare professional.

In summary, the transition from a blister to a purple discoloration is generally a normal part of the healing process following cryotherapy. It reflects the body's natural response to the treatment and should gradually improve over time. If you have any concerns about your healing process or if the symptoms worsen, do not hesitate to consult with your healthcare provider for personalized advice and care.

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