N. Iagăru 1,2, Monica Dărmănescu 2, Irina Mărgăritescu 3, D. Chiriţa 3
1 UMF “Carol Davila”
2 The Institute of Mother and Child Care “Alfred Rusescu”
3 MD, Domina Sana Medical Center
Abstract
The pigmented purpuric dermatoses are a group of chronic diseases of unknown etiology that have a distinctive clinical appearance. They are characterized by extravasation of erythrocytes in the skin with marked hemosiderin deposition. The pigmented purpuric dermatoses are infrequently reported in preadolescent children, except for the Schamberg disease that may occur in persons of any age. Usually, for all the pediatricians, purpura is a concerning sign of a possible systemic (infectious, hematologiconcologic or immunologic) disease, especially in small children. We report a case of a 7 year-old male with progressive purpura who underwent extensive laboratory investigations to rule out a systemic disease. Based on the laboratory findings and clinical course, the diagnosis of purpuric pigmentary dermatitis (Schamberg’s purpura) was established.