A 6-year-old boy with atopic dermatitis developed a hemorrhagic varicella eruption. On the third day of the disease, areas of purpura fulminans (cutaneous gangrene) developed. The Schwartzman phenomena is probably the cause as intravascular clotting developed in the gangrenous areas. The hemorrhagic eruptions following varicella have been classified as febrile, malignant, and infectious purpura, and the more severe as purpura fulminans. Recently therapy has included anticoagulants (heparin) and antibiotics. The use of corticosteroids is still debatable. A satisfactory result was obtained in this patient by administering antibiotics and steroids.
BECKER FT, BUCKLEY RP. Purpura Fulminans Associated With Varicella. Arch Dermatol. 1966;94(5):613–618. doi:10.1001/archderm.1966.01600290087014
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