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An ecchymosis is a subcutaneous spot of bleeding with diameter larger than 1-centimetre . It is similar to a hematoma, commonly called a bruise, though the terms are not interchangeable in careful usage. Specifically, bruises are caused by trauma whereas ecchymoses, which are the same as the spots of purpura except larger, are not necessarily caused by trauma, often being caused by pathophysiologic cell function.