143 - Pigmented Purpuric Dermatoses

Question 1

Usual symptom associated with pigmented purpuric dermatoses

Answer 1

Generally asymptomatic

Question 2

Granulomatous variant of PDD has been reported more commonly in patients of _____ descent

Answer 2

Asian

Question 3

In general, PPDs occur more frequently in males, except for the _____ subtype, which is seen more frequently in females

Answer 3

Majocchi

Question 4

Described as an eruption of irregularly shaped reddish-brown patches with “pin head sized reddish puncta, closely resembling grains of cayenne pepper”

Answer 4

Progressive pigmentary dermatosis (Schamberg disease)

Question 5

Most common of the PPDs to occur in children

Answer 5

Schamberg disease

Question 6

Annular patches of follicular and punctate reddish-brown macules with telangiectasias and purpura

Answer 6

Purpura annularis telangiectodes (Majocchi purpura)

Question 7

Reddish-brown round or polygonal lichenoid papules and plaques, with a background of purpura or telangiectasias

Answer 7

Pigmented purpuric lichenoid dermatosis of Gougerot and Blum

Question 8

Seasonal eruption occurring in the spring and summer

Mild scaling overlying pinpoint erythematous macules and patches with associated pruritus

Answer 8

Eczematid-like purpura of Doucas and Kapetanakis

Question 9

Distinctive gold, rust, or orange color

Histologically a dense, band-like lichenoid infiltrate of inflammatory cells is seen

Answer 9

Lichen aureus

Question 10

Widely disseminated orange-brown to purpuric lesions associated with severe pruritus
More apparent along the waistline, axilla, antecubital and popliteal fossae

Answer 10

Itching purpura (disseminated pruriginous angiodermatitis)