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Published on: July 17, 2014
[Purpura fulminans of the adult--a hematological emergency]
N T Veith1, T Tschernig2, B J Braun1
1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie - Universität des Saarlandes, Homburg (Saar).
History And Clinical Findings:
A 51-year-old female patient with history of longterm drug abuse, was admitted to our hospital with large, stocking-shaped areas of painful, non-displaceable confluent bruising reaching up to the groin.
Investigations:
The emergency laboratory tests showed leucopenia, thrombocytopenia and anemia as well as a distinct protein C deficiency.
Diagnosis, Treatment And Course:
Purpura fulminans was diagnosed and treated with an initial dose of protein C. The patient survived and the skin necrosis can be treated.
Conclusion:
Purpura fulminans is an internistic and dermatological emergency situation which can lead to shock through consumptive coagulopathy. The serious course of disease can be prevented by rapid treatment with protein C.
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