Lack of estrogen makes the skin fragile, and constant scratching by patients can make the area look red or purpuric
, so it may resemble sexual abuse.
In the early phase of the disorder, dermatologic features can include purpuric
patches and plaques in a reticulate pattern with focal central necrosis.
When the moistened stone is evaporated to dryness, the addition of dilute ammonium hydroxide produces the characteristic purple-red color of the ammonium salt of purpuric
rash) Priority signs (3TPR MOB)* Requires Orange Acute-care Temperature urgent area (>38[degrees]C) care Tiny infant (<2 months) (dagger]) Trauma (severe)/urgent surgical Pain (severe) Pallor (severe anaemia, Hb <5 g/dl) Poisoning Respiratory distress ('some') Referral urgent from another facility Restless/irritable/ lethargic Malnutrition--visible severe wasting Oedematous malnutrition Burns (major) Any other non-urgent problem Can wait Green Medical in the queue outpatients * 3TPR MOB is the acronym for the individual ETAT priority signs--a child with any of these signs would be considered for urgent care.
All patients had typical diffuse erythematous palpable purpuric
lesions on the lower extremities and buttocks.
In 1984, an entirely new syndrome, Brazilian purpuric
fever (BPF), emerged in the town of Promissao, Sao Paulo State, Brazil.
No peripheral lymphadenopathy or petechial or purpuric
lesions were determined on his physical examination.
In Indian tick typhus, maculopapular rash is present which may be purpuric
as was seen in outpatients.
Physical examination showed no pathology except widespread purpuric
Lichen aureus is a rare and chronic localized variant of pigmented purpuric
Little Rhys Brady was found to have a purpuric
rash - a major symptom of meningitis - when he was examined in Daisy Hill Hospital, Co Down, at 1am on May 16 last year.
Early administration of activated protein C to minimize purpuric
skin injury may be indicated, as well as intravenous immunoglobulin therapy (which contains significant antibodies against the causative exotoxins), they noted.