Purpura (patient information): Difference between revisions
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'''For the WikiDoc page for this topic, click [[Purpura|here]]''' | '''For the WikiDoc page for this topic, click [[Purpura|here]]''' | ||
{{Purpura (patient information)}} | {{Purpura (patient information)}} | ||
{{CMG}}; {{AE}} [[Lakshmi Gopalakrishnan]], M.B.B.S. | {{CMG}}; {{AE}} [[Lakshmi Gopalakrishnan]], M.B.B.S.; {{Ochuko}} | ||
==Overview== | ==Overview== | ||
| Line 14: | Line 9: | ||
==What causes Purpura?== | ==What causes Purpura?== | ||
* | *Nonthrombocytopenic purpuras may be due to: | ||
:*Congenital [[cytomegalovirus]] | :*Congenital [[cytomegalovirus]] | ||
:* | :*[[Congenital rubella syndrome]] | ||
:*Drugs that affect platelet function | :*Drugs that affect [[platelet]] function | ||
:*Fragile blood vessels (senile purpura) | :*Fragile blood vessels (senile purpura) | ||
:*Pressure changes that occur during vaginal childbirth | :*Pressure changes that occur during [[vaginal childbirth]] | ||
:*Inflammation of the blood vessels ([[vasculitis]]), such as [[Henoch-Schönlein purpura (patient information)|Henoch-Schonlein purpura]] | :*Inflammation of the blood vessels ([[vasculitis]]), such as [[Henoch-Schönlein purpura (patient information)|Henoch-Schonlein purpura]] | ||
* | *Thrombocytopenic purpura may be due to: | ||
:*Drugs that prevent platelets from forming | :*Drugs that prevent platelets from forming | ||
:*Hemangioma | :*[[Hemangioma]] | ||
:*[[Idiopathic thrombocytopenic purpura (patient information)|Idiopathic thrombocytopenic purpura]] (ITP) | :*[[Idiopathic thrombocytopenic purpura (patient information)|Idiopathic thrombocytopenic purpura]] (ITP) | ||
:*Immune neonatal thrombocytopenia (can occur in infants whose mothers have ITP) | :*Immune neonatal thrombocytopenia (can occur in infants whose mothers have ITP) | ||
:*Meningococcemia | :*[[Meningococcemia]] | ||
==Diagnosis== | ==Diagnosis== | ||
*Your doctor will examine your skin and ask you questions about your | *Your doctor will examine your skin and ask you questions about your medical history and symptoms, including: | ||
:*Is this the first time you have had such spots? | :*Is this the first time you have had such spots? | ||
:*When did they develop? | :*When did they develop? | ||
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:*What other symptoms do you have? | :*What other symptoms do you have? | ||
*A | *A [[skin biopsy]] may be done. | ||
==Diseases with similar symptoms== | ==Diseases with similar symptoms== | ||
*Purpura occurs when small blood vessels under the skin leak. | *Purpura occurs when small blood vessels under the skin leak. | ||
*When purpura spots are very small, they are called | *When purpura spots are very small, they are called [[petechiae]]. Large purpura are called [[ecchymoses]]. | ||
*Platelets help the blood clot. A person with purpura may have normal platelet counts (nonthrombocytopenic purpuras) or decreased platelet counts ([[thrombocytopenic purpuras]]). | |||
==When to seek urgent medical care?== | |||
Call your doctor for an appointment if you have signs of purpura. | |||
==Treatment options== | |||
=== Acute Pharmacotherapies === | |||
*Infections: | |||
:*[[RMSF|Rocky mountain spotted fever]] - [[doxycycline]] | |||
:*[[Meningococcemia]] - [[ceftriaxone]] | |||
* | === Chronic Pharmacotherapies === | ||
*Autoimmune diseases: | |||
:*[[Methotrexate]] | |||
:*[[Cyclosporine]] | |||
:*[[Azathioprine]] | |||
:*Mycopheolate mofetil | |||
==Where to find medical care for Purpura?== | ==Where to find medical care for Purpura?== | ||
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[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Purpura}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Purpura] | [http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Purpura}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Purpura] | ||
== | ==Sources== | ||
http://www.nlm.nih.gov/medlineplus/ency/article/003232.htm | http://www.nlm.nih.gov/medlineplus/ency/article/003232.htm | ||
[[Category:Physical examination]] | [[Category:Physical examination]] | ||
[[Category:Hematology]] | [[Category:Hematology]] | ||
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[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Patient information]] | [[Category:Patient information]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:39, 12 June 2015
For the WikiDoc page for this topic, click here
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Purpura |
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Purpura On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Lakshmi Gopalakrishnan, M.B.B.S.; Ogheneochuko Ajari, MB.BS, MS [2]
Overview
Purpura is purple-colored spots and patches that occur on the skin, organs, and in mucus membranes, including the lining of the mouth.
What causes Purpura?
- Nonthrombocytopenic purpuras may be due to:
- Congenital cytomegalovirus
- Congenital rubella syndrome
- Drugs that affect platelet function
- Fragile blood vessels (senile purpura)
- Pressure changes that occur during vaginal childbirth
- Inflammation of the blood vessels (vasculitis), such as Henoch-Schonlein purpura
- Thrombocytopenic purpura may be due to:
- Drugs that prevent platelets from forming
- Hemangioma
- Idiopathic thrombocytopenic purpura (ITP)
- Immune neonatal thrombocytopenia (can occur in infants whose mothers have ITP)
- Meningococcemia
Diagnosis
- Your doctor will examine your skin and ask you questions about your medical history and symptoms, including:
- Is this the first time you have had such spots?
- When did they develop?
- What color are they?
- Do they look like bruises?
- What medications do you take?
- What other medical problems have you had?
- Does anyone in your family have similar spots?
- What other symptoms do you have?
- A skin biopsy may be done.
Diseases with similar symptoms
- Purpura occurs when small blood vessels under the skin leak.
- When purpura spots are very small, they are called petechiae. Large purpura are called ecchymoses.
- Platelets help the blood clot. A person with purpura may have normal platelet counts (nonthrombocytopenic purpuras) or decreased platelet counts (thrombocytopenic purpuras).
When to seek urgent medical care?
Call your doctor for an appointment if you have signs of purpura.
Treatment options
Acute Pharmacotherapies
- Infections:
Chronic Pharmacotherapies
- Autoimmune diseases:
- Methotrexate
- Cyclosporine
- Azathioprine
- Mycopheolate mofetil
Where to find medical care for Purpura?
Directions to Hospitals Treating Purpura