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 purpura
 The rash occurs on the body with a variety of clinical manifestations, it is very varied. Hemorrhagic rash characteristic of some infectious diseases and diseases of the blood. In some cases prevalent rash may be indicative of the severity of the patient's condition (eg, the development of septic complications in sepsis).

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Contact with infectious diseases

Eruptions with hemorrhagic component is a diagnostic criterion for scarlet fever, meningococcal disease, typhoid fever, malaria and haemorrhagic fever. The intensity of the severity of the rash may be different (from a minor rash to extensive punctate hemorrhages). Characteristic symptoms of hemorrhagic rashes found in patients with scarlet fever. On the general background of hyperemic skin appears purpura Rash: Classification - primary and secondary elements  Rash: Classification - primary and secondary elements
   as punctate elements in certain areas of the body:

  • underarm
  • groin
  • in place of the elbow, popliteal folds

In the field of natural skin folds rashes will be less pronounced. Often one can observe similar manifestations scarlatiniform hemorrhagic rash diseases that are caused by staphylococcal infection. This is due to the ability of certain strains of staphylococci produce a toxin that causes toxic effects or hemorrhagic.

The most severe clinical manifestations observed with meningococcal infection.

Elements rash characterized not only by bleeding, as well as a certain density, star-shaped, and the development of the central necrosis. The disease is characterized by fairly rapid development of clinical symptoms and deterioration of general condition, so the first detection of hemorrhagic elements should seek professional medical help.

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Rash as a manifestation of blood diseases

Hemorrhagic rash may be a consequence of violations at any level of regulation of the hemostatic system. This pattern of change is in most cases hereditary, so it is necessary to survey relatives. The hereditary nature of the disease proved in patients with hemophilia.

Coagulopathy, which develops in hemophilia, clinically manifested a tendency to bleeding. Massive blood loss develops with a slight traumatic exposure (for example, if dropped), so it defines a high health risk. Injury is not always to be external, such a danger is a fact of internal exposure. One symptom of the disease is internal (subcutaneous) hematoma formation is also related to disorders in blood coagulation system. At risk of hemophilia mostly men.

Hemorrhagic rash characteristic of a hereditary disease associated with abnormal platelet hemostasis (von Willebrand disease). Increased vascular fragility manifests the development of hemorrhages in the subcutaneous tissue. On the skin, it can be seen as a rash with hemorrhagic component. The disease has some similarity with hemophilia, but differs primarily different proyavlyaemostyu pathologically altered gene. Patients with hemophilia is transmitted from generation to generation deficiency of factor VIII. Identification of changes at the genetic level is fundamental for diagnosis.

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Hemorrhagic rash while natural focal diseases

Changes in the nature of a vascular thrombus syndrome develops as a result of viral infection. Pathogenic influence Bunyaviridae family of viruses that are released in a separate genus. In the wild reservoir of the virus is the causative agent various members of the family of rodents (field mouse, house mouse or vole). Rodents this virus carriers, the clinical condition occurs they are asymptomatic, latent. The disease, which is caused by pathogenic viruses, called hemorrhagic fever or hemorrhagic nefrozonefritah Far East.

Once in the body, the virus causes symptoms of varying severity thrombohemorrhagic syndrome. During the physical examination of the patient can draw attention to the characteristic redness of the skin on the face, chest and neck, that some authors describe under the name of "a symptom of the hood." Purpura clearly visible even against skin redness, while hemorrhage develop on the mucous, for example, in the throat or the eye. The injected sclera of eyes, redness of the throat are characteristic of the prodromal period of illness. In the future, with the development of the clinical picture of the disease to the fore symptoms associated with impaired renal function (it oliguric stage).

Hemorrhagic Syndrome allows indirectly draw conclusions about the severity of the disease.

Petechiae, bruising (remain in the place of injection), nasal, or intestinal bleeding are the manifestation of vascular lesions and abnormalities in blood coagulation system. Hemorrhagic fever, severe flowing, almost 70% of clinical cases accompanied thrombohemorrhagic complications. If compared with the mild form of the disease, this percentage will be about 25%. Maximum manifestation of hemorrhagic rashes can occur if the patient fell ill during an outbreak of the disease. At the initial stage it is necessary to conduct the diagnosis of respiratory viral infections, influenza. Catarrhal symptoms similar to cold symptoms can complicate diagnosis, the diagnosis can be established at the stage of renal disease.

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