Definition of Purpura:

Purpura is purple-colored spots and patches that occur on the skin, on organs, and in mucous membranes, including the lining of the mouth.

Considerations:

Purpura occurs when small blood vessels under the skin leak.

When purpura spots are very small, they are called petechiae. Large purpura are called ecchymoses.

A person with purpura may have normal platelet counts (nonthrombocytopenic purpuras) or decreased platelet counts (thrombocytopenic purpuras). Platelets help the blood clot.

Common Causes:

Nonthrombocytopenic purpuras may be due to:

• Drugs that affect platelet function
• Congenital cytomegalovirus
• Congenital rubella syndrome
• Fragile blood vessels (senile purpura)
• Pressure changes that occur during vaginal childbirth
• Vasculitis such as Henoch-Schonlein purpura

Thrombocytopenic purpura may be due to:

• Drugs that prevent platelets from forming
• Hemangioma
• Idiopathic thrombocytopenic purpura (ITP)
• Immune neonatal thrombocytopenia (can occur in infants whose mothers have ITP)
• Meningococcemia