Bruising of the hands and arms – a condition known as actinic purpura or Bateman purpura – affects mainly older and light-skinned individuals who bruise easily. In individuals with this condition, even minor trauma to the skin can result in flat, reddened blotches that turn purple and darken. Typically, these bruises cover the back of the hands and arms. In some cases, the face and neck may be affected. The skin also appears sun-damaged, thin and wrinkled.

The condition occurs due to a lifelong accumulation of sun damage that has weakened the blood vessels. It most often appears in elderly individuals. Once a bruise appears, it typically takes a few weeks for it to fade and disappear.

The bruising itself usually cannot be treated. However, patients can take steps both to minimize further sun damage, and to prevent the appearance of new bruises. Makeup is also available to help cosmetically cover up the bruises.