Factitial Dermatitis, Trauma, Ulcer, Penny Purpura - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

factitial dermatitis trauma ulcer penny purpura

Body Site

leg

Age

16 years

Pigmentation

light

Organization

linear

Color

red

Morphology

ulcerated (erosion / ulcer)

Pattern

asymmetric

Comments

This heatlhy 16-year-old girl complained of the intermittent development of linear erosions and patchy purpura on arms, legs, abdomen, and upper chest and shoulder. The patches developed acutely over night without an overt history of trauma and healed within several days. When the lesions were covered with an occlusive dressing they always healed quickly unless the dressing was removed before returning to the doctor's office for wound checks. Cultures were negative and lesions never appeared in areas which were not readily accessible to the patient.

Description

well demarcated linear erosions and purpuric patches

Image Added

10/24/2011 22:49:14

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Other Resources

PubMed Medline Plus Medscape

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