Palpable Purpura: Causes & Reasons

Possible Causes for Palpable Purpura

These spots can usually be felt by the examiner's fingertips, hence the descriptor "palpable". The image below is a classic example of palpable purpura. [web.archive.org]

Abstract Cutaneous leukocytoclastic vasculitis (LCV) is type of small vessel vasculitis that commonly presents as palpable purpura involving the lower extremities and buttocks [ncbi.nlm.nih.gov]

Abstract Leukocytoclastic vasculitis (LCV) is a disease characterized by inflammation of small vessels presenting with petechiae and palpable purpura. [ncbi.nlm.nih.gov]

Leukocytoclastic Vasculitis

Palpable purpura in lower limb was commonest presentation. Majority were idiopathic LCV. [nepjol.info]

[…] leu·ko·cy·to·clas·tic vas·cu·li·tis cutaneous acute vasculitis characterized clinically by palpable purpura, especially of the legs, and histologically by exudation of the [medical-dictionary.thefreedictionary.com]

Leukocytoclastic vasculitis (LCV), a disease characterized by inflammation of the small vessels, presents with palpable purpura, especially in the lower extremities. [ncbi.nlm.nih.gov]

Henoch-Schönlein Purpura

Rash of palpable purpura is present in all cases. Most cases resolve with symptomatic treatment. [bestpractice.bmj.com]

Palpable purpura Palpable purpura, a manifestation of vascular inflammation, is the hallmark presentation of HSP presents regardless of age group. [symptoma.com]

During the next two days, edema and palpable purpura developed over the dorsal aspect of the hands and feet (Panels A and B), as well as on the buttocks and legs. [nejm.org]

Polyarteritis Nodosa

PANpable: Palpable purpura is seen in PAN. That's all! -IkaN [medicowesome.com]

Feels like there is an outbreak of vasculitis recently at the SFVA with a few morning reports on palpable purpura and it’s characteristic finding on pathology: leukocytoclastic [ucsfmed.wordpress.com]

Palpable purpura is also uncommon. In contrast, microscopic polyangiitis often involves the lung and heart. [rheumaknowledgy.com]

Idiopathic Cryoglobulinemia

Cryoglobulin deposition causes a vasculitis that leads to petechiae and palpable purpura. [aafp.org]

Cutaneous vasculitis with palpable purpura, especially in the lower extremities, should suggest cryoglobulinemia. [rheumaknowledgy.com]

Hypergammaglobulinemic purpura is a vasculitic purpura that primarily affects women. Recurrent crops of small, palpable purpuric lesions develop on the lower legs. [msdmanuals.com]

Churg-Strauss Syndrome

She became afebrile after 4 days, normotensive after 4 weeks, and her palpable purpura disappeared after 6 weeks. [mja.com.au]

Nonthrombocytopenic palpable purpura on the lower extremities was the most common skin manifestation of CSS and was observed in all patients. [jamanetwork.com]

palpable purpura, livedo reticularis, urticaria, necrotic bullae and digital ischaemia. [patient.info]

Cryoimmunoglobulinemic Syndrome

[…] findings  Biopsy ... http://medknow.net/teachingfiles/FTP/test 1/2011 MMI RPGN.ppt presentation ... • RF high • + palpable purpura (leukocytoclastic vasculitis ) • Dx: biopsy [docpile.net]

One or more skin lesions including palpable purpura, ulcers, digital gangrene, and areas of necrosis occur in 69-89% of these mixed disease cases (see attached photograph) [en.wikipedia.org]

[…] of the MC (Fig. 8, 9, 10 ); patients with mild-moderate symptoms, such as palpable purpura, are particularly sensitive to the smallest variations of daily steroid dosage [ojrd.biomedcentral.com]

Subacute Bacterial Endocarditis

The case of a patient who had palpable purpura on his lower extremities due to Lactobacillus-caused subacute bacterial endocarditis is reported. [ncbi.nlm.nih.gov]

Physical examination revealed palpable purpura, mild hypertension, hepatosplenomegaly, and a holosystolic cardiac murmur (Levine 2/6). [ncbi.nlm.nih.gov]

Palpable purpura may also be seen. Imaging may reveal septic pulmonary infarcts, mycotic aneurysms, and stroke. [visualdx.com]

Hypocomplementemic Vasculitis

There was scleral erythema, urticaria on the torso, palpable purpura on the legs, and swelling and tenderness of the hand joints. A diagnostic procedure was performed. [nejm.org]

Physical exam Palpable purpura is pathognomonic for vasculitis. Palpable purpura consists of elevated, nonblanching erythematous lesions. [bobbybukamd.com]

Palpable purpura and oral ulcers are common cutaneous manifestations of Wegener’s granulomatosis. [bobbybukamd.com]

Rheumatoid Arteritis

purpura. [thecurbsiders.com]

[…] in extremities, upper extremity claudication, aortitis, aortic aneurysm Medium vessels: supply gut → abdominal pain, testes → pain, infarct Small vessels: Skin → causing palpable [thecurbsiders.com]

Immune Complex-Mediated Small Vessel Vasculitis

(HSP) is closely associated with what other disease What are the diagnostic criteria for Henoch-Schonlein Purpura (HSP) need 2/4: Age < 20 years Palpable purpura Bowel angina [quizlet.com]

Vasculitis manifests in types II and III cryoglobulinemic patients with a triad of arthralgias, myalgias, and palpable purpura. [ime.acponline.org]

Henoch-Schönlein Purpura • • • • • Also referred to as anaphylactoid purpura characterized by – palpable purpura (most commonly distributed over the buttocks and lower extremities [de.slideshare.net]

Rocky Mountain Spotted Fever

Vasculitis is marked by palpable purpura rather than petechiae. Drug eruptions will have a history of exposure. [visualdx.com]

On admission, she had petechiae in some areas and blanching erythematous papules in others, but no palpable purpura. [dx.doi.org]

Kawasaki Disease

The dermatological manifestations include palpable purpura, ulcers or gangrenous-like pyoderma lesions. [scielo.br]

Skin lesions occur in only 20 to 50% of the patients, and palpable purpura is the most common manifestations. [scielo.br]

In Sjögren syndrome, cutaneous vasculitis may be manifested in 20% of the patients as palpable purpura ( Figure 6 ), ecchymosis and urticaria. [scielo.br]

Acute Bacterial Endocarditis

Palpable spleen Patients may have had non-specific symptoms (e.g. malaise, low-grade fever) for several weeks or even months, and may not have any of the specific signs. [almostadoctor.co.uk]

Unknown murmurs Splenomegaly (40%) Coxiella infection – this particular bacterium will often caused a considerably enlarged liver and spleen Clubbing (10%) General fatigue Purpura [almostadoctor.co.uk]

Bacterial Endocarditis

Palpable spleen Patients may have had non-specific symptoms (e.g. malaise, low-grade fever) for several weeks or even months, and may not have any of the specific signs. [almostadoctor.co.uk]

Gram-Negative Septicaemia

BACKGROUND: Neonatal sepsis remains an important cause of neonatal morbidity and mortality. Tools to rapidly predict antibiotic resistance in neonatal sepsis would be extremely valuable. OBJECTIVES: To develop quantitative polymerase chain reaction (qPCR) primer/probe sets that can rapidly detect antibiotic[…] [ncbi.nlm.nih.gov]

Infective Endocarditis

Article View Abstract Journal of Cardiovascular Disease Research, 2017, 8, 2, 56-60. Published: June 2017 Type: Original Article Authors: Kundavaram Paul Prabhakar Abhilash, Shalom Patole, Mohan Jambugulam, Sowmya Sathyendra, Shubhanker Mitra, Grace Rebekah, Bijesh Yadav, Balaji Veeraraghavan, and Ooriapadickal C.[…] [jcdronline.org]

Purpura

Skin manifestations include palpable purpura, livedo reticularis, ulcers, and distal gangrene. [mdedge.com]

IMAGE 1: Palpable purpura in dependent areas consistent with leukocytoclastic vasculitis IMAGE 2: Scattered palpable purpura seen in leukocytoclastic vasculitis To cite this [shmabstracts.org]

Evaluation and therapeutic outcome of palpable purpura. Indian J Dermatol Venereol Leprol [serial online] 2001 [cited 2019 Aug 5];67:320-3. [ijdvl.com]

Systemic Vasculitis

CUTANEOUS MANIFESTATION Palpable Purpura Caused by extravasation of RBCs from small vessels that have been occluded by immunecomplexes. [slideshare.net]

There is presence of skin vaculitis with palpable petechiae or purpura. [en.wikipedia.org]

Classification criteria for Henoch-Schönlein purpura include palpable purpura (mandatory criterion) in the presence of at least one of following 4 features: Diffuse abdominal [emedicine.medscape.com]

Pseudomonas Infection

2015 ICD-9-CM Diagnosis Code 041.7 Pseudomonas infection in conditions classified elsewhere and of unspecified site 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 041.7 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 041.7 should only be used[…] [icd9data.com]

Staphylococcal Septicemia

A previously healthy 5-year-old girl developed staphylococcal septicemia. Initially, cardiovascular failure with mitral insufficiency and purulent pericarditis dominated the clinical picture. Peripheral thromboembolic phenomena, meningitis, osteomyelitis, and persistent septicemia were subsequently encountered during[…] [ncbi.nlm.nih.gov]

Microscopic Polyangiitis

On physical exam, there is palpable purpura and urticarial plaques on the lower extremities and several skin nodules. Wheezes are heard on lung exam. [medbullets.com]

Skin findings are as follows: Leukocytoclastic angiitis and its palpable purpura - Leukocytoclastic purpura could be a manifestation of the systemic vasculitides or could [emedicine.medscape.com]

purpura, abdominal pain, myalgias, arthralgias, mild hypertension Birmingham Vasculitis Activity Score (BVAS, online calculator): useful for determining disease activity [pathologyoutlines.com]

Septic Embolus

J Korean Med Sci. 2013 Aug;28(8):1244-7. doi: 10.3346/jkms.2013.28.8.1244. Epub 2013 Jul 31. Author information 1 Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. Abstract There has been a controversy over data of thrombolytic and endovascular surgical treatment about cerebral[…] [ncbi.nlm.nih.gov]

Necrotizing Arteritis

Physical exam Palpable purpura is pathognomonic for vasculitis. Palpable purpura consists of elevated, nonblanching erythematous lesions. [bobbybukamd.com]

Palpable purpura. If patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. [en.wikipedia.org]

Cryoglobulinemia

Keys to Diagnosis: Palpable purpura in a dependent distribution is most suggestive of cryoglobulinemia. [rheumaknowledgy.com]

Cutaneous lesions may include palpable purpura, urticaria-like lesions, livedo reticularis, Raynaud's phenomenon, acrocyanosis, gangrene and ulceration. [dermpedia.org]

Cardinal Findings: Palpable purpura may be present on the lower extremities and rarely extends above the waist. [rheumaknowledgy.com]

Cryoglobulinemic Vasculitis

A 53-year-old woman presented with recurrent episodes of palpable purpura affecting the lower legs. [jaad.org]

Cutaneous lesions may include palpable purpura, urticaria-like lesions, livedo reticularis, Raynaud's phenomenon, acrocyanosis, gangrene and ulceration. [dermpedia.org]

Physical exam revealed palpable purpura on the dorsum of both feet. [mushare.marian.edu]

Cutaneous Vasculitis

We describe 4 patients who presented with palpable purpura, arthralgia or arthritis, leukopenia, and antineutrophil cytoplasmic antigen (ANCA) positivity most likely as a [ncbi.nlm.nih.gov]

Palpable purpura was seen in 49.4% and frequently involved the lower limbs (50.6%). [ncbi.nlm.nih.gov]

From the third day of symptoms onwards, the patient noticed the appearance of cutaneous lesions in the lower limbs with palpable purpura and erythematous papules. [ncbi.nlm.nih.gov]

Hyperglobulinemic Purpura

Wallach Date: Oct, 1995 Palpable purpura is a cutaneous manifestation of several diseases. [drplace.com]

Causes of Palpable purpura Note: Image search may contain inaccuracies Churg-Strauss syndrome Cryoglobulinaemia Erythema multiforme Henoch-Schoenlein purpura Leukocytoclastic [xdiagnosis.net]

Palpable purpura and livedo reticularis can occur in some patients. There is presence of skin vaculitis with palpable petechiae or purpura. [diki.pl]

Necrotizing Vasculitis

Cutaneous necrotizing vasculitis is a heterogeneous group of disorders characterized clinically by palpable purpura, and histologically by a segmental angiocentric inflammatory [ncbi.nlm.nih.gov]

purpura. [ncbi.nlm.nih.gov]

On physical exam, there is palpable purpura and urticarial plaques on the lower extremities and several skin nodules. Wheezes are heard on lung exam. [medbullets.com]

Urticarial Vasculitis

Abstract A middle aged female patient presented with generalised palpable purpura associated with intense pruritus along with subconjunctival haemorrhage and orbital inflammation [ncbi.nlm.nih.gov]

Besides urticarial lesions, other features such as palpable purpura (n = 7), arthralgia and/or arthritis (n = 13), abdominal pain (n = 2), nephropathy (n = 2), and peripheral [ncbi.nlm.nih.gov]

The cutaneous features may include painful, burning or pruritic skin lesions, the persistence of individual lesions greater than 24 hours, palpable purpura, pronounced central [ncbi.nlm.nih.gov]