Senile purpura, mainly due to atrophy and relaxation of collagen and fatty tissue in the subcutaneous tissues of the elderly and the lack of normal support for blood vessels. It is commonly seen on the face, neck, back of the hands, forearms and lower legs and presents as red to purplish petechiae. The petechiae often last for several weeks and are slowly absorbed, leaving hyperpigmentation after healing. Patients are often asymptomatic or occasionally itchy and often present with painful swelling of the lesion.