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The Patient with Purpura in the ICU or in the Emergency Room

  • Dan Lipsker
  • A serious life-threatening infection, especially meningococcemia or endocarditis, should always be considered in acutely ill patients with purpura.

  • A haematological work-up including platelet count, fibrinogen, plasma D-dimer levels, thrombin time and fibrin degradation products should be performed in patients presenting with purpura in the emergency room.

  • Stellate and retiform (net-like arrangement) pur-pura must always raise concern, because they are indicative of an acute thrombotic purpura, of which purpura fulminans is one possible cause.

Keywords

Infective Endocarditis Disseminate Intravascular Coagulation Thrombotic Thrombocytopenic Purpura Mycosis Fungoides Pyoderma Gangrenosum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Dan Lipsker
    • 1
  1. 1.Clinique Dermatologique1, Place de l'hôpitalStrasbourg CedexFrance

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