Symmetrical Posterior Lower Limb Bruising in A Qatar 2022 FIFA World Cup Fan – A Case Report

Abstract

Suspected spontaneous ecchymoses may indicate rare but serious underlying bleeding disorders. By undertaking a thorough clinical assessment and appropriately safety-netting patients, clinicians can reduce the need for unnecessary investigations and follow-up. Objective: To report a case of symmetrical posterior lower limb bruising in a Qatari male football fan twelve-hours following his attendance at a Qatar 2022 FIFA World Cup match in Doha, Qatar. Background: A 36-year-old previously fit and well Qatari male presented routinely to a primary healthcare centre in Doha, Qatar, after waking with painless bruising to the posterior aspects of both thighs and calves. He attended a Qatar 2022 World Cup football match as a fan the evening before, and reported being completely well prior to this. He scored 0 on both the Bleeding Assessment Score and Wells’ Criteria for DVT. Following a thorough history, examination and laboratory studies to exclude possible bleeding disorders, a diagnosis of simple purpura was made. The patient was reviewed a week later, and confirmed complete resolution. Conclusions: Fit and well football fans presenting with bruising to the dorsum of the legs in a similar pattern can, following a thorough assessment, be diagnosed with simple purpura. Key Words: Bruising, ecchymosis, football fan, soccer fan, Fan Seat Bruising