instruction: hi doctor my grandmother has purple spots on her legs and arms it looks like senile pura but I cannot be sure the one on her leg is much larger and seems to spread a little over the course of a few days the one on the arm is small she is taking calcium and vitamin for her osteoporosis and I have given her some vitamin ke and do drops as well from time to time she is 85 years old
output: hello welcome to icliniq com I can understand your concern according to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis when small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin are known as purpura may be resulted from illnesses such as bleeding disorder recent history of blood transfusion cancer she systemic lupus erythematosus infections like hiv human immunodeficiency virus hepatitis civ cytomegalovirus ebb epstein bar virus etc it may also occur due to inflammation of blood vessels blood stream infection vitamin deficiencies medications like heparin aspirin sulphonamide steroid chemotherapy digoxin hormone replacement therapy etc pura are usually benign and may resulted from above mentioned causes and it sizes can vary from small dots to large patches senile pura is benign which affects older people as their skin and underlying blood vessels become more fragile with aging and may bleed from minor trauma the treatment depends on causes and most of the pura does not need any treatment and dissolved over time it may take to weeks to heal the treatment are only needed for those which are not disappeared over time you can use topical retinoids along with her current medications I want to add that according to the pictures that are shown here your grandmother have been suffering from age related senile pura give her vitamin and citrus foods like orange lemon etc with application of sunscreen and sun protective clothing along with previously mentioned medications