Purpura: Difference between revisions
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==Background== | ==Background== | ||
*Palpable petechiae and purpura are a result of either perivascular inflammation (vasculitis) or infection. | |||
*Non-palpable petechiae usually occur in low platelet states such as ITP and DIC | |||
{{Rash red flags}} | {{Rash red flags}} | ||
Revision as of 12:09, 30 July 2016
Background
- Palpable petechiae and purpura are a result of either perivascular inflammation (vasculitis) or infection.
- Non-palpable petechiae usually occur in low platelet states such as ITP and DIC
Rash Red Flags[1]
- Fever
- Toxic appearance
- Hypotension
- Mucosal lesions
- Severe pain
- Very old or young age
- Immunosuppressed
- New medication
Clinical Features
- Purpura subdivided into:
- <2mm of hemorrhage: petechiae
- >2mm of hemorrhage: ecchymoses
Differential Diagnosis
Petechiae/Purpura (by cause)
- Abnormal platelet count and/or coagulation
- Septicemia
- Idiopathic thrombocytopenic purpura (ITP)
- Hemolytic uremic syndrome
- Leukemia
- Coagulopathies (e.g. hemophilia)
- Henoch-Schonlein Purpura (HSP)
- Acute hemorrhagic edema of infancy (AHEI)
- Hypersensitivity vasculitis
- Primary vasculitides
- Wegener's
- Microscopic polyangiitis
- Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)
- Secondary vasculitides
- Trauma
Evaluation
Management
Disposition
See Also
- ↑ Nguyen T and Freedman J. Dermatologic Emergencies: Diagnosing and Managing Life-Threatening Rashes. Emergency Medicine Practice. September 2002 volume 4 no 9.