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216.444.5725 Appointments & Locations Request an Appointment Possible Causes Care and Treatment Ami TR. Purpura Rheumatica; DermIS (Dermatology Information System), Purpura Senilis; DermIS (Dermatology Information System), Purpura Steroidica; DermIS (Dermatology Information System). You may find the Skin Rashes article more useful, or one of our other health articles. By Hektor, CC BY-SA 3.0, via Wikimedia Commons. There is a problem with All Rights Reserved, 1959;80(5):529-532. doi:10.1001/archderm.1959.01560230015002, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine. They are written by UK doctors and based on research evidence, UK and European Guidelines. Case One. UpToDate In: Ferri's Clinical Advisor 2023. Immunoglobulin light chain amyloidosis. It is common to receive a complete blood count (CBC), as well as any number of more specific tests. Other causes, such as senile purpura, trauma, scurvy, dependent purpura with venous hypertension and factitial purpura. When purpura spots are less than 4 mm in diameter, they are called petechiae. Also, the small blood vessels themselves become less elastic and more fragile, leading to easier bruising. Too little clotting can cause excessive bleeding from minor injury Too read more . A peripheral blood smear can help to rule out pseudothrombocytopenia and to look for abnormally shaped platelets. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Laboratory testing included a normal blood count and platelet count. It is often preceded by an upper respiratory tract infection due to beta-haemolytic streptococcal infection. In most children with ITP, the disorder follows a viral illness, such as the mumps or the flu. Older adults who bleed very easily tend to experience purpura more often. The cause is not known. Manifests as bruises that are usually bilateral on the extensor surfaces of the hands, forearms, face, and neck, which fade to a brownish colour over several months.