This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Peter S. Karofsky, MD
University of Wisconsin—Middleton Clinic 6602 University Ave Middleton, WI 53562

Gary P. Williams, MD
Madison, Wis

Arch Pediatr Adolesc Med. 1995;149(2):217-218.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The term purpura describes hemorrhage into mucous membranes or skin. The differential diagnosis of purpura is extensive and includes platelet disorders, platelet deficiency, clotting problems, injury, bacterial embolization, and vasculitis.

We present an 18-year-old patient in whom a purpuriclike rash developed while taking minocycline hydrochloride. The discoloration of her skin was secondary to hyperpigmentation that masqueraded as purpura.

Patient Report.

An 18-year-old woman presented to her college clinic with "bruises" on her thighs, shins, and ankles. Except for the rash, she was asymptomatic. She had been in good health and had not noted easy bruising. She recalled no antecedent trauma, fever, lethargy, respiratory illness, arthralgia, or limb pain. At the time the rash was noted, she was receiving weekly allergy injections, using cromolyn sodium and albuterol sulfate inhalers for asthma, and was using nasal steroids for allergic rhinitis. She also was taking 100-mg minocycline hydrochloride capsules twice a day for . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?