Snapshot A 68-year-old woman is bothered by easy bruising. She recalls that even reaching into her purse can cause bruising along the sides of her arms. These bruises resolve on their own, but they bother her cosmetically. She is otherwise healthy and is not taking any medications. Introduction Non-inflammatory purpura presenting as ecchymotic lesions on sun-damaged skin Also known as actinic purpura or solar purpura Associated with login to view 3 more bullets Epidemiology Seen in patients > 65 years of age login to view 2 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 5 more bullets Evaluation Diagnosis made by clinical history and exam Differential Solar lentigo Geriatric abuse Treatment None Prognosis Purpura may resolve after weeks Residual hyperpigmentation (brown color) may remain No other health consequences No indication of severe bleeding elsewhere