Purpuric rash of meningococcemia

Fulminant Purpuric Rash in a Toddler

Presentation of a patient with palpable purpuric rash.

Henoch Shonlein purpura (HSP) is a form of systemic vasculitis characterized by deposition of IgA dominant immune complexes in the small vessels. The triad of palpable purpuric rash on lower extremities, abdominal or renal involvement and arthritis is the typical presentation in this condition. The disease primarily affects children and is less common in adults. We report a case of a young fema...

Purpuric skin rash on extremities: Churg-Strauss syndrome

Yaumatei Dermatology Clinic, 12/F Yaumatei Specialist Clinic (New Extension), 143 Battery Street, Yaumatei, Kowloon, Hong Kong A 21-year-old lady presented with right foot pain and numbness and a subsequent asthmatic attack with multiple purpuric rashes over the extremities. Blood tests showed peripheral blood eosinophilia. The constellation of clinical features and skin biopsy result were cons...

Meningococcemia

A 31-year-old woman without history of systemic diseases presented to the emergency department with spiking fever, chills, generalized myalgia, severe epigastralgia, and watery diarrhea for 1 day. Flulike symptoms had been noted for several days. Progressive extension of petechiae skin purpura (Fig. 1) developed within 2–3 h upon arrival at the hospital. Low blood pressure persisted despite vig...

Purpuric-like rash as cutaneous eruptions in parvovirus B19 infection in Thai infant.

An 8-month-old girl presented with fever, rash, and diarrhea. Physical examination revealed multiple well-circumscribed, brownish-black, purpuric-like rashes on the face, arms, and legs with cervical and suboccipital lymphadenopathy. Laboratory findings showed mild anemia with thrombocytopenia and positive polymerase chain reaction for parvovirus 819 DNA in the serum. The patient recovered unev...