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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. It may occur as a single event or subsequent ...
Purpura (/ ˈ p ɜːr p jʊər ə / [1]) is a condition of red or purple discolored spots on the skin that do not blanch on applying pressure. The spots are caused by bleeding underneath the skin secondary to platelet disorders, vascular disorders, coagulation disorders, or other causes. [ 2 ]
Ducas and Kapetanakis pigmented purpura; Lichen aureus; Although vascular damage may be present, it is insufficient for these conditions to be considered forms of vasculitis. [2] A few very small non-blinded studies of treatment with narrow-band ultraviolet light have been reported as promising. [3]
As of 2017, the optimal way to treat Henoch–Schönlein purpura remains controversial. [22] Analgesics may be needed for the abdominal and joint pains. Wound care is warranted if skin death and ulcerations occur. [22] It is uncertain as to whether HSP needs treatment beyond controlling the symptoms.
Retiform purpura can present as non-raised large patches of purpura, with angulated or net-like border. They can present as painful dark red or purple patches or plaques with bordering branching and central purpura, necrosis, and/or ulceration. They can vary in size from small (1–2 cm) to large (>10 cm), and may be single or multiple ...
The most common signs and symptoms are palpable purpura and joint symptoms. [5] Apart from vasculitis, palpable purpura can also result from cutaneous emboli. Gram-negative cocci Rickettsia species, gram-negative rods, and, in immunocompromised individuals, Candida species and opportunistic fungi can all result in infectious emboli.
Rheumatoid vasculitis may affect almost any organ in the body. The skin and peripheral nerves are the most frequently affected areas. Although major organ system involvement of the kidney, bowel, or heart is much less common, it can result in serious morbidity and mortality, such as renal failure, bowel ischemia, and myocardial infarction. [3]
Livedo reticularis is a common skin finding consisting of a mottled reticulated vascular pattern that appears as a lace-like purplish discoloration of the skin. [1] The discoloration is caused by reduction in blood flow through the arterioles that supply the cutaneous capillaries, resulting in deoxygenated blood showing as blue discoloration ().
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