Localized Petechiae in the Anterior Chest Wall in a Patient with Thrombocytopenia

Year 2023, , 25 - 30, 30.04.2023

Hilal Nur Aydın , Burcu Ülküden , Yasemin Kaya

https://doi.org/10.56941/odutip.1260166

Abstract

Thrombocytopenia is a very common hematological disorder that can be seen in many diseases such as splenomegaly diseases, infectious diseases, microangiopathic hemolytic anemias (TTP, HUS) that may occur due to drugs and malignant diseases infiltrating the bone marrow. Thrombocytopenia causes bleeding diathesis and causes petechial and purpuric rashes on the skin and mucous membranes. The petechial eruptions seen in thrombocytopenia are generally widespread throughout the body and are not limited to a single area. In this case report, we wanted to present a 78-year-old patient with thrombocytopenia, who had a diffuse and intense petechial rash on the anterior chest wall secondary to thrombocytopenia but did not have petechiae in other parts of the body.

Keywords

localized petechial rash, thrombocytopenia, multiple myeloma

Trombositopenili Bir Hastada Göğüs Ön Duvarında Lokalize Peteşiler

Abstract

Trombositopeni, ilaçlara, maling hastalıkların kemik iliğini infiltre etmesine bağlı oluşabilen, splenomegali yapan hastalıklar, enfeksiyöz hastalıklar, mikroanjiopatik hemolitik anemiler (TTP, HÜS) gibi birçok hastalıklarda görülebilen, klinikte çok sık rastlanılan hematolojık bir bozukluktur. Trombositopeni kanama diatezine neden olup cilt ve mukozalarda peteşial ve purpurik döküntülere neden olmaktadır. Trombositopenide görülen peteşial döküntüler genellikle tüm vücutta yaygındır, tek bir bölgeye sınırlı değildir. Bu olgu sunumunda 78 yaşında trombositopenisi olan ve trombositopeniye sekonder göğüs ön duvarında yaygın ve yoğun peteşial döküntü olmasına rağmen vücudun diğer kısımlarında peteşisi olmayan hastayı sunmak istedik.

Keywords

thrombocytopenia, petechiae, purpura

References

• 1. Gauer RL, Braun MM. Thrombocytopenia. Am Fam Physician. 2012;85(6):612-622.
• 2. Gauer RL, Whitaker DJ. Thrombocytopenia: Evaluation and Management. Am Fam Physician. 2022;106(3):288-298.
• 3. Levine SP: Thrombocytopenia: Pathophysiology and Classification. Ed. Greer JP, Foerster J, Lukens JN, Rodgers GM, Paraskevas F, Glader B. Wintrobe’s Clinical Hematology.11th ed. Lippincott Williams&Wilkins Co. Philadelphia. 2004;1529-1532.
• 4. Charrot SC, Sellar RS, Manson JJ. Purpura. British Journal of Hospital Medicine. 2017; 78 (10):147-151.
• 5. St. Clair B, Addis KM, Rush J.L. Petechiae and Ecchymoses on the Arm Cutis. 2020;105(5):E2-E3.
• 6. Varela D, Tran D, Ngamdu K, Trullender. Rumpel-Leede phenomenon presenting as a hypertensive urgency. Proc (Bayl Univ Med Cent). 2016;29:200-201.
• 7. Lee MH, Barnett PLJ. Petechiae/purpura in well-appearing infants. Pediatr Emerg Care. 2012;28(6):503-5.
• 8. Boureau AS, Lescalie F, Cassagnau E, Clairand R, Connault JJ. Localized purpura revealing vascular prosthetic graft infection. Mal Vasc. 2013;38(4):276-9.
• 9. Bhalla N, Tambe S, Zawar V, Joshi R, Jerajani H. Localized purpuric lesions in a case of classical pityriasis rosea. Indian J Dermatol Venereol Leprol. 2014;80(6):551.
• 10. Amlie-Lefond CM, Felgenhauer JL. Leong AD. Localized purpura associated with lamotrigine. Pediatr Neurol. 2006;35(3):227-8.