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Thoracocervicofacial Purpura as a Presenting Symptom of Seizure Disorder: A Case Report

  • 0King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Case Reports in Dermatology +

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April 11, 2024

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April 11, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Postictal thoracocervicofacial purpura (PTP) is a rare rash appearing after seizures. This purpura can be the sole indicator of a seizure disorder, prompting medical evaluation.

Area Of Science

  • Neurology
  • Dermatology

Background

  • Postictal thoracocervicofacial purpura (PTP) is a rare clinical sign following seizures.
  • It may be the only objective manifestation in individuals unaware of their seizure disorder.

Observation

  • A 23-year-old presented with a sudden onset asymptomatic purpuric facial rash extending to the neck and chest.
  • Physical examination revealed tongue and thigh erosions, and conjunctival hemorrhage.
  • The patient reported a similar prior episode that resolved spontaneously.

Findings

  • Elevated urine creatinine (21,692 mg/L) and creatine kinase (1,207 mg/L) were noted.
  • Diagnosis of PTP was established based on clinical presentation and laboratory results.

Implications

  • PTP can be the primary reason for seeking medical attention after seizure activity.
  • Suspect seizure disorder in patients presenting with petechial rash on the chest, neck, malar area, and conjunctival hemorrhage.

Keywords:

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