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there are signs of ecchymosis
The skull is a frequent site of bone metastases, which commonly present as proptosis and periorbital ecchymoses .
Skin hemorrhages in the form of petechiae, ecchymoses , hematomas, and purpura will quickly become apparent.
Blanching macules or papules on the extremities (especially palms and soles) appear two to three days later, which may then progress to palpable purpura or necrotic ecchymoses .
These changes may result in granulation, fissures, ecchymoses , telangiectases and ulcerations.
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