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DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: linear_purpura_1_090818   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old girl awoke in the morning with linear purpuric patches on her arms. The patches waxed and waned for months without apparent cause. The eruption was not symptomatic and a full medical evaluation including complete blood count and coagulation studies were normal. These lesions are consistent with what we call penny purpura and is probably triggered in mos cases by rubbing with a blunt object or coin.
Related Images: All related Images  linear_purpura_3_090818  linear_purpura_2_090818 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: linear_purpura_2_090818   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old girl awoke in the morning with linear purpuric patches on her arms. The patches waxed and waned for months without apparent cause. The eruption was not symptomatic and a full medical evaluation including complete blood count and coagulation studies were normal. These lesions are consistent with what we call penny purpura and is probably triggered in mos cases by rubbing with a blunt object or coin.
Related Images: All related Images  linear_purpura_3_090818  linear_purpura_1_090818 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: linear_purpura_3_090818   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old girl awoke in the morning with linear purpuric patches on her arms. The patches waxed and waned for months without apparent cause. The eruption was not symptomatic and a full medical evaluation including complete blood count and coagulation studies were normal. These lesions are consistent with what we call penny purpura and is probably triggered in mos cases by rubbing with a blunt object or coin.
Related Images: All related Images  linear_purpura_2_090818  linear_purpura_1_090818 

DermAtlas: BACK - callus
© 2001-2009, DermAtlas
Image Name: callus_1_090731   File Type: jpg
Diagnosis: CALLUS   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: back   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: tan thickened 3 cm midline plaque with fuzzy border and surrounding subtle erythema
Comments: This 12-year-old boy had a habit of rubbing his back against his wheel chair. This area of thickened skin was present on his back for over a year. The lesion was not tender and it was contiguous with the overlyign skin.
Related Images: All related Images  callus_3_090731  callus_2_090731 

DermAtlas: BACK - callus
© 2001-2009, DermAtlas
Image Name: callus_2_090731   File Type: jpg
Diagnosis: CALLUS   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: back   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: tan thickened 3 cm midline plaque with fuzzy border and surrounding subtle erythema
Comments: This 12-year-old boy had a habit of rubbing his back against his wheel chair. This area of thickened skin was present on his back for over a year. The lesion was not tender and it was contiguous with the overlyign skin.
Related Images: All related Images  callus_3_090731  callus_1_090731 

DermAtlas: BACK - callus
© 2001-2009, DermAtlas
Image Name: callus_3_090731   File Type: jpg
Diagnosis: CALLUS   Category: environmental injury /
factitial / self Induced disorders / psychodermatosis
Body Site: back   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: tan thickened 3 cm midline plaque with fuzzy border and surrounding subtle erythema
Comments: This 12-year-old boy had a habit of rubbing his back against his wheel chair. This area of thickened skin was present on his back for over a year. The lesion was not tender and it was contiguous with the overlyign skin.
Related Images: All related Images  callus_2_090731  callus_1_090731 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: traumatic_purpura_3_090615   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC /
FACTITIAL DERMATITIS /
PURPURA /
TRAUMA
  Category: factitial / self Induced disorders / psychodermatosis /
purpura
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old boy developed recurrent episodes of purpura on his arms over several months. Lesions would appear suddenly over night or at school, and usually heal within 2-3 days. An extensive medical evaluation showed no underlying medical disorder.
Related Images: All related Images  traumatic_purpura_1_090615  traumatic_purpura_2_090615 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: traumatic_purpura_2_090615   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC /
FACTITIAL DERMATITIS /
PURPURA /
TRAUMA
  Category: factitial / self Induced disorders / psychodermatosis /
purpura
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old boy developed recurrent episodes of purpura on his arms over several months. Lesions would appear suddenly over night or at school, and usually heal within 2-3 days. An extensive medical evaluation showed no underlying medical disorder.
Related Images: All related Images  traumatic_purpura_1_090615  traumatic_purpura_3_090615 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: traumatic_purpura_1_090615   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC /
FACTITIAL DERMATITIS /
PURPURA /
TRAUMA
  Category: factitial / self Induced disorders / psychodermatosis /
purpura
Body Site: arm   Age: 11 years
Contributor: Bernard Cohen, MD    
Description: grouped linear purpuric patches
Comments: This healthy 11-year-old boy developed recurrent episodes of purpura on his arms over several months. Lesions would appear suddenly over night or at school, and usually heal within 2-3 days. An extensive medical evaluation showed no underlying medical disorder.
Related Images: All related Images  traumatic_purpura_2_090615  traumatic_purpura_3_090615 

DermAtlas: ARM - purpura, traumatic
© 2001-2009, DermAtlas
Image Name: traumatic_purpura_1_090614   File Type: jpg
Diagnosis: PURPURA, TRAUMATIC /
FACTITIAL DERMATITIS /
GARDNER-DIAMOND SYNDROME /
TRAUMA
  Category: factitial / self Induced disorders / psychodermatosis /
purpura
Body Site: arm   Age: 15 years
Contributor: Bernard Cohen, MD    
Description: well demarcated patches of purpura with surrounding areas of golden brown pigmentation.
Comments: This adolescent girl complained of episodic outbreaks of purple patches on her arms and legs. An extensive medical evaluation showed no evidence of underlying disease. She would often awaken in the morning with new lesions which developed during the night, and old lesions healed without treatment in 2-3 days. A skin biopsy showed extravasated red blood cells but otherwise normal skin.
Related Images: All related Images  traumatic_purpura_4_090614  traumatic_purpura_3_090614  traumatic_purpura_2_090614 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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