How do you treat pigmented purpura?
The skin lesions may spread over time, or clear up on their own. The cause of pigmented purpuric dermatosis is unknown. While treatment may not be necessary, topical steroids may help control itching. Other options for management include compression stockings, oral medications, and phototherapy.
What medications can cause Schamberg’s disease?
The drugs that cause PPD are acetaminophen, aspirin, adalin, carbromal, chlordiazepoxide, glipizide, glybuzole, hydralazine, meprobamate, persantin, reserpine, thiamine, interferon-alfa and medroxyprogesterone acetate injection [1] .
What does Schamberg’s disease look like?
They consist of irregular patches of orange or brown pigmentation with characteristic “cayenne pepper” spots appearing within and at the edge of old lesions. There are usually no symptoms, although there may be some slight itching, but there is no pain. The eruption may persist for many years.
What is Purpuric dermatosis?
The pigmented purpuric dermatoses (PPDs), also known as capillaritis, purpura simplex, and inflammatory purpura without vasculitis, are a group of chronic, benign, cutaneous eruptions characterized by the presence of petechiae, purpura, and increased skin pigmentation.
Can alcohol cause Schamberg’s disease?
Conclusions. This case report demonstrates that Schamberg’s disease can be strongly related to alcohol intake, in our patient most likely as a late complication of severe alcoholism with alcoholic liver disease.
What kind of disease is progressive pigmented purpura?
Progressive pigmented purpura (PPP) is an uncommon disease. There are several variants, including Majocchi purpura, Schamberg purpura, eczematoid purpura (Doucas-Kapetanakis purpura), lichenoid purpura (Gougerot-Blum purpura), and lichen aureus. The pathogenesis of PPP is poorly understood.
What are the main features of pigmented purpuric dermatosis?
The main features of pigmented purpuric dermatosis (PPD) are petechiae (tiny red spots due to broken blood vessels) or purpura (purple-colored spots or patches due to broken blood vessels), and yellow to brown pigmented patches. The most common sites are the legs, although lesions also may develop in other areas.
How big is a pinpoint purpura from PPP?
PPP usually affects the lower legs (>90% of cases), but on occasion, it can affect the trunk and upper extremities. PPP may be asymptomatic, but some patients report pruritus. PPP causes nonpalpable or very minimally palpable pinpoint purpura (usually 1–3 mm in diameter).
What can I take for progressive pigmented purpura?
Support hose may decrease the amount of hemorrhage. Discontinuance of hot baths, saunas, and hot tubs, and other causes of vasodilation may make the lesions less pronounced. Pentoxifylline (400 mg PO tid) for 4 to 8 weeks has been found useful in anecdotal case reports.