Purpura (overview) D65-D69

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch


hemorrhage of the skin; Skin bleeding

This section has been translated automatically.

The term purpura is used in the narrower sense as a synonym for bleeding into the skin. Skin bleeding is a clinical phenomenon in which erythrocytes leak into the dermal tissue. Skin bleeding can be acute or chronic. They are characterized by localized or disseminated, small or large spots, red, blue, blue-green or yellow-brown (diascopically unpushable) spots or palpable elevations (color tones caused by bleeding of different ages). A purpura can be triggered by a variety of causes.

A purpura can be flat (spot) or eleated (papule = palpable purpura), inflammatory ( vasculitis) or non-inflammatory (e.g. due to vasculopathy).

In a broader sense, independent diseases are also called "purpura", which are accompanied by bleeding into the skin (e.g. Purpura pigmentosa progressiva; Purpura Schönlein-Henoch).

This section has been translated automatically.

A distinction is made according to shape and size:

This section has been translated automatically.

Etiologically, a vascular (vessel wall damage) can be distinguished from a purpura due to coagulation disorders.

Clinical features
This section has been translated automatically.

This section has been translated automatically.

  1. Cines DB, Blanchette VS (2002) Immune thrombocytopenic purpura. N Engl J Med 346: 995-1008
  2. Hundeiker M et al (1977) Dermatological purple forms as early and late allergic reactions. Act Dermatol 3: 39-48
  3. Moake JL (2002) Thrombotic microangiopathies. N Engl J Med 347: 589-600


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


Last updated on: 29.10.2020