Cargando…

Problematic Purpura

Post-emetic purpura is an often-forgotten cause of facial rash in the acute setting and can often be mistaken for more dangerous etiologies. We present a case of a child recently treated with trimethoprim/sulfamethoxazole for impetigo who demonstrated a new rash after multiple episodes of vomiting....

Descripción completa

Detalles Bibliográficos
Autores principales: Ibraheim, Marina K, Gavvala, Sheela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990025/
https://www.ncbi.nlm.nih.gov/pubmed/33777561
http://dx.doi.org/10.7759/cureus.13473
Descripción
Sumario:Post-emetic purpura is an often-forgotten cause of facial rash in the acute setting and can often be mistaken for more dangerous etiologies. We present a case of a child recently treated with trimethoprim/sulfamethoxazole for impetigo who demonstrated a new rash after multiple episodes of vomiting. Lab workup, in conjunction with patient history and lesion location, pointed toward a diagnosis of post-emetic purpura. Careful consideration of the history, physical examination findings, location of the lesion, and laboratory findings are essential for diagnosing post-emetic purpura and differentiating it from other etiologies acutely.