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Purpura jaune d'ocreL81.9

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 04.04.2023

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Synonym(s)

Congestive bleeding; dermite ocre favre-chaix; Favre Chaix Syndrome; ochre dermatitis; Ochre purple; purpura orthostatica; Stasis bleeding; Stasis purpura (Favre-Chaix)

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HistoryThis section has been translated automatically.

Favre et al., 1924; Chaix, 1926

DefinitionThis section has been translated automatically.

Congestive bleeding in chronic venous insufficiency. It can be assumed that this clinical picture is identical with the angiodermite purpurique et pigmentée. S.a. Venous diseases.

EtiopathogenesisThis section has been translated automatically.

Increased hydrostatic pressure (chronic venous insufficiency). Chronic form: anaemia, increase of megakaryocytes in the bone marrow, rarely reduction due to exhaustion. Shortened platelet survival time.

ManifestationThis section has been translated automatically.

Occurs in older adults, mostly in people with chronic venous insufficiency (CVI).

LocalizationThis section has been translated automatically.

Especially extensor sides of the toes, back of the foot and lower legs

Clinical featuresThis section has been translated automatically.

Initially recurrent punctiform, later permanent, merging into larger spots and patches, partly red, partly reddish-brown or ochre, non-symptomatic (no itching, no scaling), skin discoloration. There is a relapse dependency of orthostatic straining functions associated with swelling of the lower legs (e.g. due to prolonged standing).

Differential diagnosisThis section has been translated automatically.

Purpura pigmentosa progressiva

Hereditary thrombocytopenia

Drug-induced or infectious thrombocytopenia

Papillomatosis cutis lymphostatica in lymphedema

TherapyThis section has been translated automatically.

Treatment of the underlying disease. Accompanying compression therapy, see below venous insufficiency, chronic.

Progression/forecastThis section has been translated automatically.

Acute form: Healing, relapses or transition to a chronic form (10%) are possible. Chronic form: Recurrent relapses.

LiteratureThis section has been translated automatically.

  1. Chaix A (1926) La dermite pigmentée et purpurique des membres inférieurs. Lésions pré-erosives des ulcères dits variqueux. Lyon
  2. Favre M, Contamin N, Martine R (1924) La dermite pigmentée et purpurique et les phlébites chroniques syphilitiques des membres inférieurs. Syphilis et ulcères dits variqueux. Lyon méd 5: 122
  3. Mekkes JR et al (2003) Causes, investigation and treatment of leg ulceration. Br J Dermatol 148: 388-401
  4. Odeh F, Goos M (1972) On the histopathology of the Dermite Ocre Favre chaix. Z Skin u Geschl Kr 47: 147-154
  5. Sawada et al (1991) Orthostatic purpura: report of two cases. Rinsho Ketsueki 32:1569-1573

Authors

Last updated on: 04.04.2023

Author: Prof. Dr. med. Peter Altmeyer