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Year : 2012  |  Volume : 78  |  Issue : 2  |  Page : 228-

Spectrum of purpura fulminans: Report of three classical prototypes and review of management strategies


Department of Dermatology, Kempegowda Institute of Medical Sciences, Bangalore, India

Correspondence Address:
Ankur Talwar
Department of Dermatology, Kempegowda Institute of Medical Sciences Hospital, KR Road, VV Puram, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.93655

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Purpura fulminans is a rare syndrome of intravascular thrombosis and hemorrhagic infarction of the skin that is rapidly progressive and is accompanied by vascular collapse and disseminated intravascular coagulation. It usually occurs in children, but this syndrome has also been noted in adults. The three forms of this disease are classified by the triggering mechanisms. We describe three classical cases of purpura fulminans of the three classical prototypes treated at our center and their varied clinical outcomes. We also describe a case of acute infectious purpura fulminans secondary to systemic leptospirosis which to our best knowledge is the first reported case in world literature. The various treatment options for purpura fulminans have also been reviewed.






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Online since 15th March '04
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