Solar Purpura · What Is It, Appearance, Causes, and More

Published: Nov 06, 2025
Author: Corinne Tarantino, MPH
Editor: Alyssa Haag, MD
Editor: Józia McGowan, DO
Editor: Arianna Succi, MD
Editor: Kelsey LaFayette, DNP, ARNP, FNP-C
Illustrator: Jillian Dunbar
Copyeditor: Joy Mapes
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What is solar purpura?

Solar purpura is a common skin disorder characterized by easy bruising that results in the appearance of flat, purple patches, associated with extensive sun exposure. Solar purpura is more commonly known as senile purpura, as it mostly affects older individuals, but is also sometimes called actinic purpura or Bateman purpura.  

Purpura occurs when red blood cells leak from blood vessels into the skin, creating a discolored area that is larger than 3 millimeters (about 0.04 inches). In contrast to eczema or allergic reactions, purpura does not blanch (i.e., turn white) with pressure, nor is it tender or itchy. Although the appearance of solar purpura may be bothersome to some, the disorder is typically not dangerous.  

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What are signs and symptoms of solar purpura?

Solar purpura looks like purple and red blotches, or bruises, with irregular edges. They are typically 1 to 4 centimeters (0.4 to 1.6 inches) in diameter and appear on the skin of the hands, forearms, and legs. The surrounding skin may be cracked and thin, resembling tissue paper, and may show other signs of sun damage (e.g., wrinkles, light brown spots, a slightly yellow hue to the skin). 

What causes solar purpura?

Solar purpura is most likely caused by many years of ultraviolet (UV) radiation exposure from sunlight. Long-term exposure to UV light can damage the skin connective tissue; as a result, even minor trauma can cause blood vessels to burst, creating the characteristic skin discoloration of solar purpura.  

Solar purpura may also be caused by zinc deficiency, as zinc is a mineral necessary for wound healing. Additionally, common blood thinners (e.g., aspirin) reduce blood clotting, which can result in increased bleeding after a minor trauma and the formation of larger areas of purpura.

How is solar purpura diagnosed?

Solar purpura is diagnosed by evaluating the signs and symptoms, understanding the individual’s medical history, and conducting a thorough physical examination. Laboratory tests are usually not conducted, as individuals with solar purpura tend to have normal blood test results.  

How is solar purpura treated?

Solar purpura usually resolves spontaneously in about 1 to 3 weeks without the need for treatment. Solar purpura may be prevented by applying sunscreen, wearing protective clothing when outdoors, and minimizing UV light exposure whenever possible

How long does solar purpura last?

Typically, solar purpura lasts 1 to 3 weeks. However, a slight, brown discoloration of the skin or scarring may persist after the initial bruise fades. 

What are the most important facts to know about solar purpura?

Solar purpura is a skin disorder characterized by areas of purple or red discoloration, most commonly found on the arms, forearms, and legs of elderly people. It is usually caused by minor traumas to sun-damaged skin and is diagnosed by a thorough medical evaluation. Solar purpura typically resolves within 1 to 3 weeks without treatment. 

Key Takeaways

Definition 

Skin disorder characterized by easy bruising and the appearance of flat, purple patches, associated with extensive sun exposure. 

Appearance 

- Purple-red bruises 

- Flat  

- Non-blanching  

- Irregular edges 

- 1-4 cm in diameter 

- Hands, forearms, legs 

Cause 

- Many years of UV exposure → connective tissue damage → bleeding after minor trauma 

- Blood thinners 

- Zinc deficiency  

Diagnosis 

- Physical examination 

- Medical history  

Treatment 

- Spontaneous resolution within 1-3 weeks 

- Prevention (sunscreen, protective clothing, avoid sun exposure)  

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References


Ceilley R. Treatment of actinic purpura. J Clin Aesthet Dermatol. 2017;10(6):44-50. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605207/


Cho SI, Kim JW, Yeo G, et al. Senile purpura: Clinical features and related factors. Ann Dermatol. 2019;31(4):472-475. https://doi.org/10.5021/ad.2019.31.4.472


Kauffman TL, Scott RW, Barr JO, Moran ML, eds. Skin disorders. In: A Comprehensive Guide to Geriatric Rehabilitation. 3rd ed. Churchill Livingstone/Elsevier; 2014:369-378.


Lawrence N. New and emerging treatments for photoaging. Dermatol Clin. 2000;18(1):99-112. https://doi.org/10.1016/s0733-8635(05)70151-0


Rayner RL, Carville KJ, Leslie GD, Dhaliwal SS. Clinical purpura and elastosis and their correlation with skin tears in an aged population. Arch Dermatol Res. 2019;311(3):231-247. https://doi.org/10.1007/s00403-019-01899-9