Haematomas and gingival bleeding

In February, 2011, a 19-year-old woman from a rural village, with poor education and very limited income, presented to our dermatology clinic in Phnom Penh. She complained of persistent blue and brown patches on her skin, bleeding gums, lethargy, and malaise. The patient denied any physical trauma, insect bites, or general diseases. Medical history was unremarkable. Examination of the skin showed numerous ecchymotic patches with diameters...