Petechiae: Causes & Reasons

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Possible Causes for Petechiae

Thrombocytopenia

These pinpoint-sized dots are called petechiae (peh-TEE-kee-ay). Petechiae may look like a rash. [nhlbi.nih.gov]

Suspect ITP in a child with thrombocytopenia and petechiae following a viral illness! [amboss.com]

Painless, round and pinpoints (1 to 3 mm in diameter), petechiae usually appear and fade, and sometimes group to form ecchymoses. [healthcentral.com]

Infectious Mononucleosis

In adolescent and adult patients presenting with sore throat, the presence of posterior cervical, inguinal or axillary adenopathy, palatine petechiae, splenomegaly, or atypical [ncbi.nlm.nih.gov]

Conclusions and Relevance In adolescent and adult patients presenting with sore throat, the presence of posterior cervical, inguinal or axillary adenopathy, palatine petechiae [doi.org]

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]

Leukemia

These were petechiae/purpura (category derived from ‘petechiae’, ‘purpura’ and ‘petechiae/purpura’), mucosal bleeding (including ‘mucosal bleeding’ and ‘bleeding gums’), anorexia [doi.org]

We sometimes see what we call petechiae, which is just a medical word for small red dot under the skin. [youtube.com]

Petechiae (small red spots under the skin caused by bleeding) iStock/lzf Dr. Crilley describes petechiae as “like someone painted little red dots with a pen.” [rd.com]

Infective Endocarditis

External links [ edit ] Look up petechia in Wiktionary, the free dictionary. Wikimedia Commons has media related to Petechiae . [en.wikipedia.org]

If the disease goes undiagnosed for a longer period of time, the physician will notice Janeway lesions, petechiae, splinter hemorrhages, Roth spots and Osler nodes, caused [symptoma.com]

Splinter hemorrhages and petechia aren't specific to infective endocarditis, while Osler's nodes, Roth spots, and Janeway lesions are usually indicative of the disease. 8 [nursingcenter.com]

Chronic Immune Thrombocytopenic Purpura

Chronic ITP patients may have no obvious petechiae. [medical-dictionary.thefreedictionary.com]

Bruising and petechiae in isolation, without mucosal, gastrointestinal or renal tract bleeding. The child is otherwise well. [rch.org.au]

Petechiae on the lower extremities Oral petechiae/purpura - lower lip Petechia on the tongue in a person with platelets of 3 due to ITP Petechia of the lower leg in a person [en.wikipedia.org]

Endocarditis

Cutaneous manifestations include petechiae, Osler nodes, Janeway lesions, and splinter hemorrhages. [emedicine.com]

Signs and symptoms of IE include petechiae, anorexia, high fever, heart failure, cardiac murmur, Osler's nodes, Janeway lesions, Roth Spots, and splenomegaly. [youtube.com]

Henoch-Schönlein Purpura

Patients with this disorder typically present with palpable purpura or petechia associated with one or more of the following signs and symptoms: abdominal pain, arthritis/ [ucdavis.pure.elsevier.com]

It causes skin rashes that bleed into the skin (petechiae and purpura). Bleeding may also occur from the gastrointestinal tract and kidneys. [mountsinai.org]

A 64-year-old man was admitted to the hospital with petechiae and palpable purpura in lower limbs and abdominal pain for about 1 month. [ncbi.nlm.nih.gov]

Kasabach-Merritt Syndrome

A term female infant presented with a large mass in the back, multiple petechiae over extremities, and shortness of breath. [dailyrounds.org]

Kasabach-Merritt syndrome (KMS) consists of large and rapidly growing vascular tumors associated with thrombocytopenia, generalized petechiae, and bleeding. [ncbi.nlm.nih.gov]

However, despite hematologic correction, the ecchymosis and petechiae worsened, and a mass became evident in the right posterior triangle of the patient's neck. [ncbi.nlm.nih.gov]

Immune Thrombocytopenic Purpura

Chronic ITP patients may have no obvious petechiae. [medical-dictionary.thefreedictionary.com]

Perform a thorough exam – check all lymph-node areas, look at mucosal surfaces for petechiae! [pedemmorsels.com]

[…] by: Thrombocytopenia = platelet < 100 x109/L It used to be <150 x109, but only ~7% of pts with plts between 100 x109 – 150 x109 will progress to ITP over the next 10 yrs Petechiae [pedemmorsels.com]

Autoimmune Thrombocytopenia

Patients with chronic autoimmune thrombocytopenia typically present with petechiae and mucosa bleeding. [asmscience.org]

CASE REPORT: A 70-year-old woman was admitted with rectal bleeding accompanied by widespread petechiae, bruising, tongue and buccal mucosa bleeding, and epistaxes and proved [ncbi.nlm.nih.gov]

Mild symptoms: –Bruising and petechiae –Occasional minor epistaxis –Very little interference with daily living 1/25/2015 Idiopathic Thrombocytopenic Purpura Prof.Dr. [slideshare.net]

Disseminated Intravascular Coagulation

Petechiae are small red or purple dots on your skin. Purpura and Petechiae The photograph shows purpura (bruises) and petechiae (red and purple dots) on the skin. [hoacny.com]

Petechiae or red dots on the surface of the skin. [oncolink.org]

Physical examination may reveal petechiae, ecchymosis, gangrene, mental disorientation, hypoxia, hypotension, and GI bleeding. [bestpractice.bmj.com]

Subacute Bacterial Endocarditis

SBE manifests many skin findings including petechiae, splinter hemorrhages of the nails, Osler's and laneway lesions, clubbing of the fingers, and findings suggestive of angiitis [ncbi.nlm.nih.gov]

Classical lesions associated with subacute bacterial endocarditis include petechiae, splinter hemorrhages, Osler's modes and Janaway lesions. [ncbi.nlm.nih.gov]

Heart murmur, petechiae, emboli phenomena. Blood culture is positive. [remedyland.com]

Leukocytoclastic Vasculitis

A 71-year-old man presented with a high fever, polyarthralgia, petechiae and palpable purpura accompanied by livedoid change on his legs and feet. [ncbi.nlm.nih.gov]

Physical examination was significant for petechiae on the hard palate and diffuse palpable petechiae in the distribution described above. [amjmed.org]

Purpura, petechiae, or ulcers may develop. Diagnosis requires biopsy. Treatment depends on etiology and extent of disease. [msdmanuals.com]

Acute Bacterial Endocarditis

Heart murmur, petechiae, emboli phenomena. Blood culture is positive. [remedyland.com]

Petechiae These are small (1-2mm) purple spots, caused by a minute haemorrhage. They can be caused by loads of things. [almostadoctor.co.uk]

Emboli may also cause petechiae, tiny purple or red spots on the skin, resulting from hemorrhages under the skin's surface. [medical-dictionary.thefreedictionary.com]

Bacterial Endocarditis

Heart murmur, petechiae, emboli phenomena. Blood culture is positive. [remedyland.com]

Physical exam Up to half of all patients will exhibit classic physical signs such as 1) petechiae, 2) splinter hemorrhages, 3) Osler's nodes, 4) Janeway lesions and 5) Roth's [symptoma.com]

Roth spots are petechiae of the retina with a white or pale center that corresponds to a bundle of cotton wool or a multinuclear leukocyte aggregate. [pesquisa.bvsalud.org]

Aplastic Anemia

Symptoms result from anemia, thrombocytopenia (petechiae, bleeding), or leukopenia (infections). [merckmanuals.com]

In aplastic anemia, anemia may cause weakness and easy fatigability while severe thrombocytopenia may cause petechiae, ecchymosis, and bleeding from the gums, into the conjunctivae [merckmanuals.com]

Glanzmann Thrombasthenia

The clinical history of Glanzmann thrombasthenia may include the following: Excessive bleeding after dental extraction (this may often be the first sign of the disease) Petechiae [emedicine.medscape.com]

On physical exam, his extremities are spotted with petechiae and purpura. Suspicious of a congenital bleeding disorder, the pediatrician orders labs. [step1.medbullets.com]

[…] and ecchymoses (although spontaneous petechiae are uncommon) Gingival bleeding (which is worse with poor dental hygiene) Hemarthroses (rare) Family history of a bleeding [emedicine.medscape.com]

Viral Hemorrhagic Fever

Skin petechiae may be noted. [visualdx.com]

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

May progress to include petechiae and/or vesicles on the back of the throat and facial edema, mucosal hemorrhaging, and pulmonary edema. [visualdx.com]

Acute Myeloid Leukemia

[…] infection because there are a decreased number of healthy white blood cells, known as neutropenia Bruising or bleeding from decreased platelets, known as thrombocytopenia Petechiae [curesearch.org]

Thrombocytopenia often causes petechiae on the lower limbs. DIC may aggravate the situation and cause larger lesions. [patient.info]

Petechiae are small dots, purpura is larger and ecchymoses are larger bruises. Hepatomegaly and splenomegaly may be found. Lymphadenopathy is less common. [patient.info]

Meningococcemia

Neither petechiae nor purpura was present; no meningismus was noted. [nejm.org]

Petechiae are the most common cutaneous sign, seen in one-third to one-half of affected patients. [visualdx.com]

Meningococcal infection should be considered in patients who have fever along with skin rash or petechiae even when there are no signs of meningitis. [ncbi.nlm.nih.gov]

Hyperglobulinemic Purpura

Blood spots under the skin may be either purpura or petechiae. CD36 deficiency may be a cause of post transfusion purpura. [diki.pl]

[…] hyperglobulinemic purpura Other names Purpura hyperglobulinemica Specialty Dermatology Waldenström hyperglobulinemic purpura is a skin condition that presents with episodic showers of petechiae [en.wikipedia.org]

Rumpel-Leede sign: distal shower of petechiae that occurs immediately after the release of pressure from a tourniquet release. Associated with capillary fragility. [slideplayer.com]

Precursor-Cell Lymphoblastic Leukemia

[…] the immune system Symptoms of ALL You should see a doctor if you or your child is experiencing: Weakness Tiredness Fever Pale skin Night sweats Easy bruising or bleeding Petechiae [uvahealth.com]

[…] a single category, ‘petechiae/purpura’). [adc.bmj.com]

Waterhouse-Friderichsen Syndrome

When a patient presents with fever and petechiae, WFS must be considered, even when the patient has a non-toxic appearance. [ncbi.nlm.nih.gov]

We underline that when a patient presents fever and petechiae (50-60% of patients), WFS must be considered, even when the patient has a non-toxic appearance. [ncbi.nlm.nih.gov]

Case report: We present the case of a 4 months boy with high fever 40 °C, vomiting, diarrhea, lethargy, maculopapular rash followed by petechiae and purpura. [endocrine-abstracts.org]

Wiskott-Aldrich Syndrome

Thrasher; used with consent given by parents History & Exam Key Factors FHx of WAS easy bruising and petechiae Other Factors serious bleeding recurrent infections serious/ [online.epocrates.com]

X-linked recessive Gene: WAS Protein: WASp Tests: WAS Gene Sequencing, WAS Protein by Flow Key Clinical and Laboratory Features Common clinical features: Abnormal bleeding, petechiae [seattlechildrens.org]

Affecting males almost exclusively, it manifests as persistent atopic dermatitis, increased susceptibility to infections, and thrombocytopenic purpura, ecchymoses, petechiae [youtube.com]

Crimean Hemorrhagic Fever

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

• Severe multisystem syndrome• Damage to overall vascular system• Symptoms often accompanied by hemorrhage• Rarely life threatening in itself• Includes conjunctivitis, petechia [slideshare.net]

The petechiae (bleeding spots) may give way to ecchymoses ( bruises, like a petechial rash, but covering larger areas) and other hemorrhagic (bleeding) phenomena such as melena [medicinenet.com]

Fat Embolism

Abstract Cerebral fat embolism (CFE) causes microinfarcts, vasogenic edema, and petechiae in the brain. [ncbi.nlm.nih.gov]

Two petechiae were evident on the left arm and a single petechia in the right axilla. [nejm.org]

Conventional magnetic resonance imaging has been reported to effectively visualize microinfarcts and vasogenic edema in CFE, but not petechiae. [ncbi.nlm.nih.gov]

Vasculitis

Vascular spasm with cyanosis was seen in all patients frequently, as was petechiae and periorbital edema. [ehcd.com]

Purpura, petechiae, or ulcers may develop. Diagnosis requires biopsy. Treatment depends on etiology and extent of disease. [merckmanuals.com]

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

Myelodysplasia

BACKGROUND: Relatively minor bleeding (e.g., bruising and/or petechiae) may cause patient distress. [ncbi.nlm.nih.gov]

Petechiae, ecchymoses, and nose and gum bleeding are common manifestations of a low platelet count. [emedicine.medscape.com]

If thrombocytopenia is present, patients may notice petechiae, bruising, nosebleeds or bleeding from gums after brushing teeth. [patient.info]

Dengue Fever

An 8-year-old girl was admitted with fever, myalgia and petechiae. Dengue virus IgM antibodies were positive. [ncbi.nlm.nih.gov]

Petechia was most common haemorrhagic manifestation. Common laboratory findings included 89.35% decreased Platelet counts ( 45%) and 58.33% deranged liver function test. [ncbi.nlm.nih.gov]

Rash (typically morbilliform or confluent, although there may also be petechiae). Symptoms usually last for 2-7 days. [patient.info]

Acute Myeloid Leukemia with Myelodysplasia-Related Changes

You might have: Fatigue Fever Weight loss or loss of appetite Headaches Unusual bleeding or bruising Tiny red spots on your skin (petechiae) Swollen gums Swollen liver or [webmd.com]

[…] bleeding and easy bruising caused by a very low platelet count called thrombocytopenia, which may also include the appearance of pinhead-size red spots on the skin called petechiae [aamds.org]

Some generalized symptoms include fever, fatigue, weight loss or loss of appetite, shortness of breath, anemia, easy bruising or bleeding, petechiae (flat, pin-head sized [en.wikipedia.org]