Petechiae: Causes & Reasons

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Possible Causes for petechiae

Thrombocytopenia

Larger than petechiae, ecchymoses are purple, blue or yellow-green areas of skin that vary in size and shape. [en.wikipedia.org]

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

A 20-month-old boy presented with a 2-day history of fever and systemic petechiae. [ncbi.nlm.nih.gov]

Streptococcal Infection

Cutaneous petechiae are not uncommon, and a scarlatiniform rash may be present. [emedicine.medscape.com]

Scarlet fever: pharyngitis symptoms (see above), pastia (pink or red lines formed of confluent petechiae, which are small purple or red spots in the skin caused by minor blood [medicinenet.com]

[…] physical examination, children with classic group A streptococcal pharyngitis are more likely to demonstrate tonsillopharyngeal erythema, a red edematous uvula, palatal petechiae [emedicine.medscape.com]

Sunburn

CONTEXT: The incidence of skin cancer, the most common type of cancer in the United States, is increasing. Sunburn is a major modifiable risk factor for skin cancer, and its prevalence among the US population is high. OBJECTIVES: To identify predictors of having had a red or painful sunburn in the past 12 months[…] [ncbi.nlm.nih.gov]

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]

Chronic Kidney Insufficiency

[…] haemorrhage Subdural haematoma Epistaxis Haematuria Ecchymosis Purpura Bleeding from the gums Gingival bleeding Genital bleeding Haemoptysis Telangiectasia Haemarthrosis Petechiae [academic.oup.com]

[…] subdural haematoma, epistaxis, haematuria, ecchymosis, purpura, bleeding from the gums, gingival bleeding, genital bleeding, haemoptysis, telangiectasia, haemarthrosis and petechiae [academic.oup.com]

Acute Renal Failure

Pallor, rash, bruising: petechiae, purpura and nosebleeds may suggest inflammatory or vascular disease, emboli or disseminated intravascular coagulation. [patient.info]

Checking the patient for areas of small, purple or red spots (petechiae), hemorrhage beneath the skin (purpura), and bluish discoloration of a fairly large area of the skin [encyclopedia.com]

Scarlet Fever

Petechiae are also visible on her soft palate. Her anterior-cervical nodes are swollen and tender. [doi.org]

Forehead and cheeks appear flushed Circumoral pallor Pharyngitis Tonsil s are hyperemic and edematous, with exudate Throat is inflamed and covered by a membrane Palatal Petechiae [fpnotebook.com]

Other signs include enlarged papillae on the tongue (strawberry tongue) and petechiae on the soft palate. [doi.org]

Vasculitis

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

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

Clinical presentation ranges from arthralgia, myalgia, petechiae, or rash to single or multiorgan involvement. [ncbi.nlm.nih.gov]

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]

Two weeks later, he was transferred to the West China Hospital with nasal hemorrhage for 1 week, hematochezia, hematuria, and petechiae for 5 days. [ncbi.nlm.nih.gov]

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

Infective Endocarditis

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

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]

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]

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]

An additional eight features were present in a third to a half of children: recurrent infections (49%), fatigue (46%), limb pain (43%), hepatosplenomegaly (42%), bruising/petechiae [ncbi.nlm.nih.gov]

Meningitis

[…] infants) Muscle, leg or joint pain Neck retraction with arching of the back (infants) Pale or blotchy skin Rash or spots that don’t fade with pressure (also called purpure or petechiae [meningitis.com.au]

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]

Petechiae are present in approximately 50-60% of patients. The clinical diagnosis of WFS may be relatively straightforward or extremely challenging. [ncbi.nlm.nih.gov]

Septicemia

Abstract Acute meningococcemia is characterized by extensive purpurae consisting of both petechiae and ecchymoses. [ncbi.nlm.nih.gov]

The skin becomes very pale and the person may exhibit petechiae. Petechiae are tiny spots on the skin, which do not blanch when a glass tumbler is applied to the skin. [irishhealth.com]

Acute Lymphoblastic Leukemia Type L1

Thrombocytopenia manifests itself as bleeding, bruising and, in severe cases, petechiae. [symptoma.com]

Symptoms of ALL include: Frequent infections Fever Easy bruising Bleeding that is hard to stop Flat, dark-red skin spots (petechiae) due to bleeding under the skin Pain in [stjude.org]

Bone marrow failure manifests as signs of anemia (tiredness, paleness), thrombocytopenia (bruising, bleeding or petechiae) or neutropenia (fever and infection). [symptoma.com]

Aplastic Anemia

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

We report a case of 6-year-old South Asian girl presenting with bruises, petechiae, and recent history of loose stools. [ncbi.nlm.nih.gov]

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]

Kasabach-Merritt Syndrome

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

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

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]

Endocarditis

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

Chronic Immune Thrombocytopenic Purpura

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]

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

When they do occur, they may include: Easy or excessive bruising Superficial bleeding into the skin that appears as pinpoint-sized reddish-purple spots (petechiae) that look [mayoclinic.org]

Henoch-Schönlein Purpura

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]

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]

This patient is a nine-year-old previously healthy Caucasian male who presented with 1 week of petechiae on his lower legs, knee and ankle arthritis, and abdominal pain without [ncbi.nlm.nih.gov]

Immune Thrombocytopenic Purpura

Here, we describe a previously healthy adolescent who presented with fever, influenza-like symptoms and acute onset of generalized petechiae and active oral mucosa bleeding [ncbi.nlm.nih.gov]

Abstract In this retrospective cohort study conducted in 63 children with idiopathic thrombocytopenic purpura (ITP) in China; petechiae, bruises and bleeding were the major [ncbi.nlm.nih.gov]

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

Acute Bacterial Endocarditis

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

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]

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

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]

Bacterial Endocarditis

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

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

There were also petechiae in the feet. The blood culture yielded Staphylococcus aureus (3 of the 4 specimens obtained over a period longer than 12 hours). [scielo.br]

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]

The most common presentation of CSVV is raised red-purple spots (purpura, 0.3 to 1 cm in diameter) and/or petechiae (purpuric lesions less than 3 mm in diameter) which do [dermcoll.edu.au]

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

Myelodysplasia

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]

Easy or unusual bruising or bleeding which occurs due to a low blood platelet count (thrombocytopenia) Pinpoint-sized red spots just beneath your skin caused by bleeding (petechiae [mayoclinic.org]

Pharyngitis

Posterior pharynx with petechiae and exudates in a 12-year-old girl. [web.archive.org]

[…] following: Assessment of airway patency Temperature Hydration status Head, ears, eyes, nose, and throat – Conjunctivitis, scleral icterus, rhinorrhea, tonsillopharyngeal/palatal petechiae [emedicine.com]

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

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]

Pernicious Anemia

During the current ER visit, the physical exam was significant for tachycardia, pallor, oral wet purpura, and petechiae on the lower extremities. [tandfonline.com]

Petechiae in the mammillary bodies. WKS, acute lesion. Periaqueductal lesions. WKS, acute lesion. Periaqueductal lesions. WKS, burned out lesion. WKS, burned out lesion. [neuropathology-web.org]

Primary Immune Deficiency Disorder

Physical finding Failure to thrive Dysmorphism(abnormal facial features) Skin and mucosa Eczema, petechiae Abscesses, pyoderma Telangiectasia Delayed umbilical separation [slideshare.net]

He presented in respiratory failure at our institution with anasarca, 3 pitting edema in all extremities, clubbing of all digits, splenomegaly, and petechiae. [acphospitalist.org]

Common dermatological manifestations include eczema, warts, molluscum contagiosum, mucocutaneous candidiasis, recurrent nonhealing ulcers, skin abscesses, erythroderma, petechiae [idoj.in]

Acute Myeloid Leukemia

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

[…] 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]

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