White House Press Secretary Karoline Leavitt has a new excuse for why Donald Trump’s hands are bruised again.

People have been noticing for the past year that Trump’s hands are often bruised when he appears in public, wondering whether this is a symptom of a larger medical issue. Leavitt has offered multiple explanations in the past for his bruises, including that he “shakes [Americans’] hands on a daily basis more than any other president in history” and that he has “chronic venous insufficiency,” which Leavitt described as a benign condition.

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And Trump’s doctor, Dr. Sean Barbabella, said last month that the bruising is a result of the large dose of aspirin that Trump takes daily, which, according to at least one medical professor, is usually prescribed in the aftermath of a stroke.

The bruises were even more pronounced this week during Trump’s visit to Davos, Switzerland, and were visible on his left hand, even though it’s usually his right hand that has had them. People on social media are sharing images of those bruises.

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“He’s literally rotting,” New York Times columnist Jamelle Bouie wrote.

Leavitt has a new explanation for the bruising: Trump had an accident.

“At the Board of Peace event today in Davos, President Trump hit his hand on the corner of the signing table, causing it to bruise,” she said in a statement.

Another White House official said that all the aspirin Trump is taking makes him susceptible to bruising.

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