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Petechia of the lower leg in a person with platelets of 3 due to ITP (immune thrombocytopenia).The most common cause of petechiae is through physical trauma such as a hard bout of coughing, holding breath, vomiting, or crying, which can result in facial petechiae, especially around the eyes.
Other symptoms include: headache, nausea and vomiting, abdominal pain, [14] muscle pain, [15] or a scarlatiniform rash or palatal petechiae, the latter being an uncommon but highly specific finding. [13] Symptoms typically begin one to three days after exposure and last seven to ten days. [3] [13]
In about 50% of cases, small reddish-purple spots called petechiae can be seen on the roof of the mouth. [26] Palatal enanthem can also occur, but is relatively uncommon. [16] A small minority of people spontaneously present a rash, usually on the arms or trunk, which can be macular (morbilliform) or papular. [16]
Petechiae on the lower leg from thrombocytopenia Right upper limb with purpura caused by thrombocytopenia in person with septic shock. Thrombocytopenia usually has no symptoms and is picked up on a routine complete blood count. Some individuals with thrombocytopenia may experience external bleeding, such as nosebleeds or bleeding gums.
Immune thrombocytopenic purpura (ITP), also known as idiopathic thrombocytopenic purpura or immune thrombocytopenia, is an autoimmune primary disorder of hemostasis characterized by a low platelet count in the absence of other causes.
Schamberg's disease, (also known as "progressive pigmentary dermatosis of Schamberg", [1] "purpura pigmentosa progressiva" (PPP), [1] and "Schamberg's purpura" [1]) is a chronic discoloration of the skin found in people of all ages, usually only affecting the feet, legs or thighs or a combination.
Such lesions include petechia (less than 3 mm (0.12 in), resulting from numerous and diverse etiologies such as adverse reactions from medications such as warfarin, straining, asphyxiation, platelet disorders and diseases such as cytomegalovirus); [6] and purpura (3–10 mm (0.12–0.39 in)), classified as palpable purpura or non-palpable ...
Initially a vascular lesion is usually noted on the skin which can be firm and hard (indurated). Areas of tiny red dots (petechiae) can appear around the lesion or on other parts of the body. If the vascular lesion is internal, these petechiae and bruising can be seen on the skin. Bruising and spontaneous bleeding can also occur.