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Contributor

Bernard Cohen, MD

Diagnosis

gonorrhea Neisseria gonorrhoeae infection embolus, septic vasculitis

Body Site

leg

Age

17 years

Pigmentation

dark

Organization

grouped, clustered

Color

purple

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

asymmetric

Comments

This adolescent girl developed tender purpuric papules on her right leg associated with fever and arthralgias. A cervical examination revealed cervical and adnexal tenderness, and a culture was positive for Neisseria gonorrhoeae. She improved quickly with parenteral antibiotics. Skin biopsy revealed a leukocytoclastic vasculitis and no organisms were indentified.

Description

3-4 mm purpuric papules

Categories

infections and infestations purpura

Image Added

8/2/2002 19:55:29

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Other Resources

PubMed Medline Plus Medscape

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