Dear Doctor: Is Eliquis the reason I have bruises on my legs that do not go away?
Key Points:
- An 80-year-old female on Eliquis (apixaban) experiences persistent bruising due to the anticoagulant's effect on blood clotting and the natural fragility of blood vessels in older adults; a healthy diet rich in fruits and vegetables may help strengthen blood vessels and reduce bruising.
- Wernicke encephalopathy (WE), often called "wet brain," is caused by a thiamine (vitamin B1) deficiency, primarily linked to chronic heavy alcohol use, leading to symptoms such as disorientation, eye muscle paralysis, and gait abnormalities.
- WE can progress to Korsakoff syndrome, characterized by severe memory loss and confabulation; early and rapid thiamine treatment is crucial for symptom resolution, but