Haemorrhagic pigmentary dermatoses D69.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Hemorrhagic-pigmentary dermatosis

Definition
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Purpura restricted to the skin due to chronic inflammatory capillary changes and additionally increased hydrostatic pressure with grouped petechiae and subsequent hemosiderin deposits in the connective tissue. Histologically, all forms of purpura recognizable as such have eczematoid dermatitis in common with lymphocytic inflammatory infiltration. The consequences are creeping, but continuous or recurrent bleeding.

Classification
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Various clinical pictures are subsumed under this term:

Etiopathogenesis
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Probably type IV allergy (see allergy below) in addition with an unspecified cofactor. The allergen can be supplied orally, by contact or inhalation.

Usually triggered by drugs (bromocarbamides, bisacodyl, diazepam).

The predilection is determined by hydrostatic pressure in dependent parts of the body.

Therapy
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Literature
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  1. Fence H (1987) Hemorrhagic-pigmentary dermatoses. Z Hautkr 62: 1485-1491

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020