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Other components of a routine history should be gone through (past medical history, medical and allergic history - including any over-the-counter drugs - and social history are all relevant). Review Petechiae can develop in small clusters or patches, resembling a rash. This may spread over a larger area of skin or be confined to a single area. Petechiae can occur around or among purpura. Petechiae in children Non-thrombocytopenic purpura and petechiae: These occur when blood vessels are damaged or ruptured, or due to the loss of the skin’s structural elements.

In rare cases, thrombocytopenic purpura that’s left untreated may cause a person to develop excessive bleeding in some part of their body. Excessive bleeding in the brain can lead to a fatal brain hemorrhage.

Sometimes the spots from purpura do not go away completely. Certain medications and activities can make these spots worse. To reduce your risk of forming new spots or making spots worse, you should avoid medications that reduce platelet count. These medications include aspirin and ibuprofen. You should also choose low-impact activities over high-impact activities. High-impact activities can increase your risk of injury, bruising, and bleeding. People who start treatment right away or have a mild case often make a full recovery. However, purpura can become chronic in severe cases or when treatment is delayed. You should see your doctor as soon as possible if you suspect you have purpura. Living with purpura

Purpura form when tiny blood vessels called capillaries burst and leak, causing blood to pool beneath the skin. They are also known as blood spots or skin hemorrhages. Though they are usually flat, they can be slightly raised. Over time, reductions in subcutaneous fat and connective tissue and long-term sun exposure can lead to increased bruising of mature skin due to minor trauma. This is known as actinic purpura. Other names for this include solar purpura, senile purpura, traumatic purpura, and Bateman’s disease. When treatment is necessary, it is not due to the rash itself. Underlying causes, such as leukemia, need to be treated, as do complications, such as kidney failure. Treatment for Henoch-Schönlein purpura If your type of purpura is causing severe bleeding, your doctor may give you an intravenous medication called intravenous immunoglobulin (IVIG). They may also give you IVIG if you need to increase your platelet count rapidly before surgery. This treatment is usually effective in increasing your platelet count, but the effect is usually only in the short term. It can cause side effects such as headache, nausea, and fever. Other drug therapies In all other patients, severe thrombocytopenia must be excluded. Immediately refer children and young people for assessment; adults should have a full blood count and coagulation screen within 48 hoursNote the nature of the lesions - size, confluence, associated blisters (and what these contain: exudate, blood, pus). Rituximab ( Rituxan) helps lower the immune response. They predominantly treat thrombocytopenic purpura and patients who do not respond to corticosteroids. Side effects include sore throat, low blood pressure, fever, and rash. Doctors do not know the exact cause of Henoch Schönlein purpura. However, it could occur due to inflammation of the blood vessels, also known as vasculitis. It is the most common type of vasculitis in children in North America. Determine how long the rash has been present and whether it is changing noticeably. Meningococcal septicaemia will be very recent in origin and changing almost visibly. Petechiae are red, pink, or purple patches just under the skin. They are smaller than 2 mm and usually flat.