Rocky Mountain Spotted Fever, Vasculitis - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Rocky Mountain spotted fever vasculitis

Body Site

hand palm

Age

9 years

Pigmentation

light

Organization

Color

Morphology

papulosquamous (bump, scale)

Pattern

Comments

A 9 year old girl developed a palpable purpuric eruption on her distal extremities including her palms and soles. Her mother remembered removing a tick from her back 1 week earlier. She complained of fever, malaise, and severe headache. Skin biopsy of 1 of the papules showed a vasculitis and immunoperoxidase studies of the tissue were positive for Ricketsia ricketsii

Description

violaceous non-blanching papules

Image Added

6/10/2001 21:14:23

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Other Resources

PubMed Medline Plus Medscape

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