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Petechiae, Purpura and Vasculitis

Petechiae, Purpura and Vasculitis

Petechiae, Purpura and Vasculitis

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Summary:<br />

<strong>Petechiae</strong> <strong>and</strong> <strong>Purpura</strong><br />

• The term purpura is used to describe red-purple lesions<br />

that result from extravasation of the blood into the skin<br />

or mucous membranes<br />

• <strong>Purpura</strong> may be palpable <strong>and</strong> non-palpable<br />

• <strong>Purpura</strong> does not blanch with pressure<br />

• <strong>Purpura</strong> may result from hyper- <strong>and</strong> hypocoagulable<br />

states, vascular dysfunction <strong>and</strong> extravascular causes<br />

• Various life-threatening conditions present with<br />

petechial rashes including meningococcemia <strong>and</strong> RMSF<br />

• The presence of petechial or purpuric lesions in a<br />

septic patient should raise concern for DIC

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