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Monday, February 10, 2014

purpura its classification

purpura

purpura
Classification of purpuras
A- Purpura associated with normal numbers of platelets (non thrombocytopenic purpuras)
1- Vascular purpura
  a- Henoch-Schonlein purpura (anaphylactoid purpura).
  b- Meningococcemia or septicemia.
  c- Toxic vasculitis: may produce hemorrhagic rash as a reaction to drugs such as iodides.
  d- Viral or rickettsial infections.
  e- Scurvy (vitamin C deficiency).
2- Platelet function disorders
  a- Congenital platelet function defects (thrombasthenias).
  b- Acquired platelet function disorders: e.g. uremia.
  c- Drug-induced abnormalities of platelet aggregation (salicylates therapy).

B-  Purpura associated with decreased number of platelet (thrombocytopenic purpuras)
1- Idiopathic thrombocytopenic purpura (ITP).
2- Aplastic anemia.
3- Bone marrow infiltration e.g. leukemia.
4- hypersplenism.
5- Other thrombocytopenic purpura.
    a- Drug induced thrombocytopenia e.g carbamazepine.
    b- Congenital thrombocytopenic syndromes  (e.g. Wiskott Aldrich syndrome).
    c- Thrombocytopenia with cavernous hemangioma.
6- Neonatal thrombocytopenia.

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