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Case Reports
November 1938

HEMORRHAGIC PURPURA IN SCARLET FEVER: A REPORT OF TWO CASES

Author Affiliations

CHICAGO
From the Department of Medicine, University of Chicago, and from the John McCormick Institute for Infectious Diseases.

Am J Dis Child. 1938;56(5):1086-1090. doi:10.1001/archpedi.1938.01980170132017
Abstract

Hemorrhagic conditions in scarlet fever fortunately are rare. References to them in current textbooks are brief or absent and are often coupled with the statement that some of the cases reported may have been instances of hemorrhagic smallpox. In a survey of the literature of the past thirty years, about 62 cases of hemorrhagic purpura and fulminating purpura which occurred during or after scarlet fever have been found. Most of the references have been to case reports. In a study of the cases of 5,000 patients with scarlet fever admitted to the Durand Hospital during a period of twenty years, only 2 such cases were observed. The purpose of this paper is to report these 2 cases and to discuss in a brief manner some of the pertinent questions relating to the condition.

Fulminating purpura as a complication of scarlet fever is a type of disease usually rapidly fatal and

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