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Factitious Purpura in a 10‐Year‐Old Girl
Author(s) -
Yamada Kayo,
Sakurai Yoshihiko,
Shibata Mari,
Miyagawa Sachiko,
Yoshioka Akira
Publication year - 2009
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2009.00992.x
Subject(s) - medicine , purpura (gastropod) , girl , differential diagnosis , dermatology , medical history , physical examination , pediatrics , surgery , pathology , psychology , ecology , developmental psychology , biology
We describe a 10‐year‐old girl who presented with bizarre purpura. Both congenital and autoimmune hemorrhagic disorders were excluded based on her past medical history and physical and laboratory findings. Child abuse was also ruled out as purpura continued to develop after child–family separation. Histologic examination of the skin lesions revealed disruption of collagen fiber bundles. This finding indicated application of external force, leading to a definitive diagnosis of factitious purpura. Although it is very rare in school‐age children, the diagnosis of factitious purpura should be included in the differential diagnosis of purpura in children. Histologic analysis of skin biopsies may aid in establishing the diagnosis.