Palatal Petechiae: Causes & Reasons

Possible Causes for Palatal Petechiae

Tonsillopharyngeal/palatal petechiae are seen in GAS infections and infectious mononucleosis. [web.archive.org]

Odynophagia, palatal petechiae, and season of the year (autumn and winter) were positively associated with SP (p = 0.007, p < 0.001 and p = 0.03 respectively). [scielo.conicyt.cl]

It is much more likely to have pharyngeal and tonsillar inflammation (mucosal erythema and edema), palatal petechiae, well-demarcated pharyngeal/tonsillar exudates ( Figure [empendium.com]

Infectious Mononucleosis

Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical [ncbi.nlm.nih.gov]

Pharyngeal inflammation and palatal petechiae are more common in adolescents. [aafp.org]

Palatal petechiae Occur transiently and not in every patient. Palatal petechiae Occur transiently and not in every patient. [medicaljoyworks.com]

Pharyngitis due to Group A Beta-Hemolytic Streptococcus

On clinical examination, patients with group A strep pharyngitis usually have Pharyngeal and tonsillar erythema Tonsillar hypertrophy with or without exudates Palatal petechiae [cdc.gov]

Physical examination may reveal erythema and swelling of the pharynx, enlarged and erythematous tonsils, tonsillar exudate and palatal petechiae. [drplace.com]

Mouth wide open showing the throat Note the petechiae, or small red spots, on the soft palate. [en.wikipedia.org]

Scarlet Fever

Petechiae may be present Strawberry Tongue Fine Papule s on Tongue surface Tongue dorsum may appear with a white exudate and projecting edematous papillae Rash Onset with [fpnotebook.com]

This may be accompanied by exudative tonsillopharyngitis, enlarged cervical lymph nodes, small red spots on the palate (petechiae) and a ‘strawberry tongue’. [pharmaceutical-journal.com]

The throat will be a bright red, but sometimes may just have red spots on the back of the throat or palate, called palatal petechiae. [ourmed.org]

Rubella

Rash On occasion nonspecific oral lesions (an enanthem; Forscheimer's spots) consisting of pinpoint red macules and petechiae can be seen over the soft palate and uvula just [atsu.edu]

Signs There may be petechiae on the soft palate (Forchheimer's sign) but this is not diagnostic for rubella. [patient.info]

Immune Thrombocytopenic Purpura

Petechiae can also occur in mucosal membranes including the hard palate, nasal septum or gums leading to nose and gum bleeds. Menorrhagia can be seen in females. [tandfonline.com]

Oral manifestations include spontaneous gingival bleeding, petechiae or hematomas of the mucosa, palate and tongue. [scielo.br]

[…] the soft and hard palate [ 16 Vaisman B, Medina AC, Ramirez G. [benthamopen.com]

Acute Bacterial Endocarditis

Petechiae : Conjunctivae. Hands and feet (dorsum). Chest and abdominal wall. Oral mucosae and soft palate. Splinter or subungual haemorrhages : linear and red. [patient.info]

Subacute Bacterial Endocarditis

Petechiae : Conjunctivae. Hands and feet (dorsum). Chest and abdominal wall. Oral mucosae and soft palate. Splinter or subungual haemorrhages : linear and red. [patient.info]

Currently, the most common of these is petechiae. [emedicine.medscape.com]

They may occur on the palpebral conjunctivae, the dorsa of the hands and feet, the anterior chest and abdominal walls, the oral mucosa, and the soft palate. [emedicine.medscape.com]

Candida Endocarditis

Petechiae : Conjunctivae. Hands and feet (dorsum). Chest and abdominal wall. Oral mucosae and soft palate. Splinter or subungual haemorrhages : linear and red. [patient.info]

Currently, the most common of these is petechiae. [emedicine.medscape.com]

They may occur on the palpebral conjunctivae, the dorsa of the hands and feet, the anterior chest and abdominal walls, the oral mucosa, and the soft palate. [emedicine.medscape.com]

Adenovirus Infection

This is an unusual case of fatal hepatic necrosis caused by disseminated type 5 adenovirus in a renal transplant recipient. This adult patient may have been colonized at the time of transplantation with a kidney from a pediatric donor. The adenovirus became invasive when the host's cellular immune system was[…] [ncbi.nlm.nih.gov]

Chronic Immune Thrombocytopenic Purpura

Published Journal Article Romiplostim, a thrombopoietin mimetic, is a novel therapeutic option for patients with chronic immune thrombocytopenic purpura. We report on the effects of romiplostim use throughout pregnancy.A 28-year-old primigravid woman with chronic immune thrombocytopenic purpura initiated a planned[…] [scholars.duke.edu]

Infectious Mononucleosis Hepatitis

Tonsillar enlargement, pharyngeal erythema, palatal petechiae, lymphadenopathy, and jaundice were noted. [jidc.org]

Splenomegaly (50% of cases), fever, fatigue, malaise Pharyngitis and/or to nsillitis (reddened, enlarged tonsils covered in pus ) ; palatal petechiae Bilateral cervical lymphadenopathy [amboss.com]

A maculopapular rash, palatal petechiae, and periorbital edema are less common signs. Fatigue and general malaise may persist for months after infection clears. [medical-dictionary.thefreedictionary.com]

Streptococcal Pharyngitis

In children with sore throat, the presence of a scarlatiniform rash (likelihood ratio [LR], 3.91; 95% CI, 2.00-7.62), palatal petechiae (LR, 2.69; CI, 1.92-3.77), pharyngeal [ncbi.nlm.nih.gov]

Abstract Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior [ncbi.nlm.nih.gov]

Scarlatiniform rash and palatal petechiae are very specific but are rarely seen in streptococcal pharyngitis. [symptoma.com]

Pharyngeal Disease

Tonsillopharyngeal/palatal petechiae are seen in GAS infections and infectious mononucleosis. [web.archive.org]

petechiae, tonsillopharyngeal exudate, oropharyngeal vesicular lesions Lymphadenopathy (cervical or generalized) Cardiovascular evaluation Pulmonary assessment Abdominal [emedicine.medscape.com]

petechiae; midwinter to early spring season; and absent cough or rhinorrhea. 9 Group C, G, and F streptococci may be indistinguishable clinically from GAS infection. [web.archive.org]

Severe Idiopathic Pneumococcemia

When they occur as an enanthem, you can see them in Strep (palatal petechiae) or Mono. Coagulation disorders, ITP, TTP, Leukemia. [brainscape.com]

The child also had palatal lesions. B: Scattered petechiae appear centrally, and there is a vesicle posteriorly at the junction of the hard and soft palates. [5minuteconsult.com]

Brazilian Hemorrhagic Fever

The image below depicts palatal petechiae and hemorrhage in a patient with Ebola virus disease (EVD). Filovirus disease - Ebola fever. [emedicine.medscape.com]

Generally, individuals with South American hemorrhagic fever will have flushing, lymphadenopathy, conjunctival injection, petechia, and palatal enanthem of a vesicular appearance [symptoma.com]

Patient with Ebola hemorrhagic fever during 1976 outbreak in Zaire demonstrating palatal petechiae and hemorrhage. Photo courtesy of Joel Breman. [emedicine.medscape.com]

Arcanobacterium Infection

Clinical Manifestations Presentation of disease caused by A haemolyticum is similar to GAS pharyngitis with fever, pharyngeal exudate, and lymphadenopathy, but palatal petechiae [accesspediatrics.mhmedical.com]

Viral Hemorrhagic Fever

The image below depicts palatal petechiae and hemorrhage in a patient with Ebola virus disease (EVD). Filovirus disease - Ebola fever. [emedicine.medscape.com]

Omsk hemorrhagic fever – Vesicles on soft palate, upper body flushing (no rash), conjunctival erythema, petechiae, mucosal bleeding, and gastrointestinal hemorrhage. [visualdx.com]

Patient with Ebola hemorrhagic fever during 1976 outbreak in Zaire demonstrating palatal petechiae and hemorrhage. Photo courtesy of Joel Breman. [emedicine.medscape.com]

Infectious Mononucleosis Encephalitis

petechiae and uvular oedema. [patient.info]

Palatal petechiae and uvular edema are usually absent, and exudative pharyngitis is not a feature of these infectious diseases. [emedicine.medscape.com]

Red dots (petechiae) may be seen on the palate. Up to half of infected people will have an enlarged spleen, and 10% will have an enlarged liver on abdominal examination. [emedicinehealth.com]

Venezuelan Hemorrhagic Fever

The image below depicts palatal petechiae and hemorrhage in a patient with Ebola virus disease (EVD). Filovirus disease - Ebola fever. [emedicine.medscape.com]

Bleeding of the gums is a typical finding, and there may be petechiae on the palate and axillae. [medical-dictionary.thefreedictionary.com]

Patient with Ebola hemorrhagic fever during 1976 outbreak in Zaire demonstrating palatal petechiae and hemorrhage. Photo courtesy of Joel Breman. [emedicine.medscape.com]

Tonsillitis

Palatal petechiae (pinpoint spots on the soft palate) may also be seen with an EBV infection. Red swollen tonsils that may have small ulcers on their surfaces in individuals [entnet.org]

Palatal petechiae (pinpoint spots on the soft palate) may also be seen with an EBV infection. [bmc.org]

petechiae; cervical lymphadenitis; rash; conjunctivitis; anterior stomatitis; discreet ulcers. [dontforgetthebubbles.com]

Chronic Tonsillitis

Palatal petechiae (pinpoint spots on the soft palate) may also be seen with an EBV infection. [bmc.org]

Group A beta-hemolytic Streptococcus pyogenes (GABHS) can cause tonsillitis (“strep throat”) associated with the presence of palatal petechiae (tiny hemorrhagic spots, of [childrenentdocs.com]

Fever, adenopathy, palatal petechiae, and exudates are somewhat more common with GABHS than with viral tonsillopharyngitis, but there is much overlap. [merck.com]

Viral Upper Respiratory Infection

petechiae–popularly, “doughnut lesions,” tender anterior cervical lymphadenopathy, and occasionally a scarlatiniform rash; pharyngeal or palatal vesicles and ulcers (herpangina [medical-dictionary.thefreedictionary.com]

Suspicious symptoms include persistent fever, rigors, night sweats, tender lymph nodes, tonsillopharyngeal exudates, scarlatiniform rash, palatal petechiae, and swollen tonsils [annals.org]

[…] confusion and somnolence Physical exam Common cold–nasal voice, macerated skin over the nostrils, inflamed nasal mucosa; GABHS-related pharyngitis–pharyngeal erythema/exudate, palatal [medical-dictionary.thefreedictionary.com]

Passovoy Factor Defect

Palatal petechiae, confusion, granulocytopenia, thrombocytopenia, and pneu- monitis [9] are well-described features of this infection. [docslide.com.br]

Palatal petechiae were noted. There was B. Received for publication December 17, 1984; accepted March 21, 1985. Address reprint requests to Sucha Nand, M.D., 2160 S. [docslide.com.br]

Hemophilus Parainfluenzae Infection

The clinical presentation of PT due to all types of streptococci is generally identical, and is characterized by exudation, palatal petechiae, follicles, tender cervical adenitis [tonsilitisunderstood.blogspot.com]

“petechiae”&circular and semicircular red marks, early strawberry tongue or scarlatinaform rash, a history of exposure to the organism, winter season, and the presence of [tonsilitisunderstood.blogspot.com]

[…] without “sore throat”), higher temperature, ill appearance, headache, neck muscle pain, tenderness, abdominal pain, nausea, or vomiting, flushed cheeks & circumoral pallor, palatal [tonsilitisunderstood.blogspot.com]

Thrombocytopenia Due to Sequestration

Petechiae are small, 2- to 5-mm mm, red or purple macules (spots) that appear most often in the distal lower extremities ( Figure 14-1A ) but also on the conjunctiva and palate [accessmedicine.mhmedical.com]

Small petechiae often merge to form larger lesions. Very large, purpuric lesions are called ecchymoses ( Figure 14-1B ). [accessmedicine.mhmedical.com]

Acute Rheumatic Heart Disease

petechiae (“doughnut lesions”) Sudden onset of sore throat Tender, enlarged anterior cervical nodes Tonsillopharyngeal erythema Tonsillopharyngeal exudates Features suggestive [aafp.org]

Nausea, vomiting, and abdominal pain Pain with swallowing Patient 5 to 15 years of age Presentation in winter or early spring (in temperate climates) Scarlet fever rash Soft palate [aafp.org]

Viral Exanthem

Epstein-Barr virus (EBV) can also present as lymph node enlargement, yellow or gray tonsillar pseudomembrane, palatal petechiae, maculopapular or petechial eruption, splenomegaly [visualdx.com]

On occasion a nonspecific enanthem (Forscheimer's spots) of pinpoint red macules and petechiae can be seen over the soft palate and uvula just before or with the exanthem. [atsu.edu]

On occasion a nonspecific enanthem ( Forscheimer's spots) of pinpoint red macules and petechiae can be seen over the soft palate and uvula just before or with the exanthem [atsu.edu]

Tick-Borne Hemorrhagic Fever

Red eyes, a flushed face, a red throat, and petechiae (red spots) on the palate are common. [globalbiodefense.com]

Familial Candidiasis Type 4

FIGURE: A, Numerous palatal petechiae in a patient with an ill-fitting denture. [slideshare.net]

First stage consists of numerous palatal petechiae 2. Second stage displays a more diffuse erythema involving most (if not all) of the denture-covered mucosa 3. [slideshare.net]

Third stage includes the development of tissue granulation or nodularity (papillary hyperplasia) commonly involving the central areas of the hard palate and alveolar ridges [slideshare.net]