Palpable purpura
Appearance
Palpable purpura is a condition where purpura, which constitutes visible non-blanching hemorrhages, are raised and able to be touched or felt upon palpation.[1] It indicates some sort of vasculitis secondary to a serious disease.[1][2]
Causes
- Rocky mountain spotted fever
- Acute meningococcemia
- Disseminated gonococcal infection
- Ecthyma gangrenosum
- Henoch–Schönlein purpura
- Polyarteritis nodosa
- Leucocytoclastic vasculitis
- Microscopic polyangiitis
- Mixed Essential Cryoglobulinemia
Diagnosis
treatment of underlying causes
Treatment
Treat the underlying disease. For example, for granulomatosis with polyangiitis, treatment is steroids and cyclophosphamide.
References
- ^ a b Mushlin, Stuart B.; Greene, Harry Lemoine (2009). Decision Making in Medicine: An Algorithmic Approach. Elsevier Health Sciences. p. 122. ISBN 0323041078. Retrieved 19 December 2017.
- ^ Crain, Ellen F.; Gershel, Jeffrey C. (2010). Clinical Manual of Emergency Pediatrics. Cambridge University Press. p. 126. ISBN 9781139492867. Retrieved 19 December 2017.
Further reading
- Bagai, A; Albert, S; Shenoi, SD (Nov–Dec 2001). "Evaluation and therapeutic outcome of palpable purpura". Indian journal of dermatology, venereology and leprology. 67 (6): 320–3. PMID 17664788.
- ARIAS-SANTIAGO, S.; ANEIROS-FERNANDEZ, J.; GIRON-PRIETO, M. S.; FERNANDEZ-PUGNAIRE, M. A.; NARANJO-SINTES, R. (3 March 2010). "Palpable purpura". Cleveland Clinic Journal of Medicine. 77 (3): 205–206. doi:10.3949/ccjm.77a.09065.