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February 1926


Arch Derm Syphilol. 1926;13(2):263-269. doi:10.1001/archderm.1926.02370140129018

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Purpura Hemorrhagica. Presented by Dr. Weiss.  A girl, aged 5, gave a negative family history. She had had no infection in childhood, except measles. There was no history of rheumatism. One year before presentation, she had had a mild attack of tonsillitis. Three weeks before, her mother noticed an eruption on the skin; since that time more of the patches had appeared. The patches varied in size from that of a pinhead to that of the palm. The patient also had coughed up some bloody sputum; otherwise she seemed well. She may have taken phenolphthalein, but there seemed to be no history of this.

DISCUSSION  Dr. Rosen: The presentor should have mentioned an important observation in this particular case, namely, that each lesion presented a secondary inflammatory swelling, as though it were thrombic, probably due to a streptococcus infection.Dr. Andrews: The fact that the child coughed up blood might

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