Retiform purpura: A diagnostic approach.


Journal

Journal of the American Academy of Dermatology
ISSN: 1097-6787
Titre abrégé: J Am Acad Dermatol
Pays: United States
ID NLM: 7907132

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 09 05 2019
revised: 15 07 2019
accepted: 28 07 2019
pubmed: 4 9 2019
medline: 18 11 2020
entrez: 4 9 2019
Statut: ppublish

Résumé

Retiform purpura is a specific morphology within the spectrum of reticulate eruptions of vascular origin. It develops when blood vessels serving the skin are compromised resulting in downstream cutaneous ischemia, purpura, and necrosis. Identifying retiform purpura is important particularly in the acutely ill patient. It may elucidate the underlying diagnosis, provide prognostic information, and suggest a treatment approach. The differential diagnosis of retiform purpura is vast, reflecting the myriad conditions that can lead to cutaneous vessel wall damage or lumen occlusion. In this article, we give an overview of the differential diagnosis of this cutaneous morphology, provide an approach to workup, and highlight updates in treatment of some of the more common conditions that manifest as retiform purpura.

Identifiants

pubmed: 31479689
pii: S0190-9622(19)32672-6
doi: 10.1016/j.jaad.2019.07.112
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

783-796

Informations de copyright

Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Auteurs

Corey Georgesen (C)

Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Electronic address: corey.georgesen@gmail.com.

Lindy P Fox (LP)

Department of Dermatology, University of California, San Francisco, California.

Joanna Harp (J)

Department of Dermatology, Weill Cornell Medicine, New York, New York.

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Classifications MeSH