Study note

Sex, body habitus and visibility of bruising

THE CONTEXT
Susceptibility to bruising and its visible appearance vary with tissue characteristics, skin pigmentation and methods of examination.

Sex and subcutaneous tissue

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Women bruise more easily than men because their tissues are more delicate and their subcutaneous fat is greater.
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Fat people bruise easily because of the greater volume of subcutaneous tissue.
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Slight finger pressure on a woman's arm may produce a definite bruise, especially if she is obese and unaccustomed to work or exercise.

Skin colour

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Bruises are more clearly visible in fair skin. In dark skin, they may be better felt than seen.
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Extravasated blood can appear darker even in heavily pigmented skin.

Embalming and photography

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Embalming makes skin bruises more prominent, probably through additional blood entering the damaged area, increased transparency of overlying skin and formation of a dark pigment complex.
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Black and white photographs show contusions more clearly than direct observation, while colour photographs reproduce them more truly.
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