The Patient with Purpura in the ICU or in the Emergency Room
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.
KeywordsInfective Endocarditis Disseminate Intravascular Coagulation Thrombotic Thrombocytopenic Purpura Mycosis Fungoides Pyoderma Gangrenosum
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