Purpura fulminans
| Purpura fulminans | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Purpura, necrosis, disseminated intravascular coagulation |
| Complications | Sepsis, organ failure, amputation |
| Onset | Sudden |
| Duration | |
| Types | N/A |
| Causes | Bacterial infection, genetic disorder, anticoagulant protein deficiency |
| Risks | Infection, genetic predisposition |
| Diagnosis | Clinical presentation, blood tests, skin biopsy |
| Differential diagnosis | Meningococcemia, sepsis, thrombocytopenic purpura |
| Prevention | N/A |
| Treatment | Antibiotics, anticoagulation therapy, supportive care |
| Medication | Heparin, fresh frozen plasma, protein C concentrate |
| Prognosis | Variable, depends on severity and treatment |
| Frequency | Rare |
| Deaths | N/A |
Purpura Fulminans is a severe and rapidly progressive condition characterized by blood clots and hemorrhage into the skin and other organs. It is a medical emergency that requires immediate treatment.
Causes
Purpura Fulminans is often caused by severe infections, particularly meningococcal sepsis. It can also occur as a complication of disseminated intravascular coagulation (DIC), a condition in which blood clots form throughout the body's small blood vessels.
Symptoms
The main symptom of Purpura Fulminans is the sudden appearance of numerous areas of skin necrosis and hemorrhage (bleeding) into the skin. These areas are initially purplish-red and then become black as the skin and underlying tissues die. Other symptoms can include fever, shock, and organ failure.
Diagnosis
The diagnosis of Purpura Fulminans is based on the clinical presentation and laboratory tests. These tests may include blood cultures to identify the underlying infection, and tests to evaluate the coagulation system, such as a prothrombin time (PT) and partial thromboplastin time (PTT).
Treatment
Treatment of Purpura Fulminans involves addressing the underlying cause, such as treating the infection with antibiotics. Supportive care, including fluid resuscitation and vasopressors, may be needed to maintain blood pressure. In severe cases, amputation of affected limbs may be necessary.
Prognosis
The prognosis of Purpura Fulminans is often poor, with a high mortality rate. Early diagnosis and treatment can improve the outcome.
See also
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