I'm 24 years old. For 3 years I have had bruising-like bumps on the front of the shin bone. They appear and disappear after a few / several weeks. They are painful. The doctor I visited didn't know what it was. The ultrasound showed no changes, and the irradiation did not show any effect. I use birth control pills. Which doctor should I see? What kind of tests should I have? What treatment?

Haemophilia is an inherited disorder associated with coagulation disorders (deficiency of one of the coagulation system factors) manifested by hemorrhages. I do not suspect that you have this disease - you would probably know about other sick family members, and there would be various types of hemorrhages. As for the location of the changes on the tibia, this location may suggest erythema nodosum. The causes of nodular erythema are different - it can appear in the course of bacterial diseases and in the course of drug use. Contraceptives are drugs that can cause erythema nodosum. So I suggest discussing the matter with your gynecologist.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Krystyna Knypl

Internist, hypertensiologist, editor-in-chief of "Gazeta dla Lekarzy".

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