Purpuric Chickenpox: Report of a Case, Review of the Literature, and Classification by Clinical Features

Case Reports1 April 1961PURPURIC CHICKENPOX: REPORT OF A CASE, REVIEW OF THE LITERATURE, AND CLASSIFICATION BY CLINICAL FEATURESN. DAVID CHARKESN. DAVID CHARKESSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-4-745 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPurpura is an unusual complication of chickenpox. On the basis of differences in etiology, clinical manifestations, prognosis, and therapy, five major purpuric syndromes may be recognized in this disease : febrile purpura, malignant chickenpox with purpura, postinfectious purpura, purpura fulminans, and anaphylactoid (Schönlein-Henoch) purpura. In addition, bleeding may result from secondary infection, with or without gangrene, or, more rarely, from hemorrhagic nephritis.The purpose of this communication is to report a case of febrile purpura, to review the literature pertinent to bleeding associated with chickenpox, and to delineate the differential features of the major syndromes.CASE REPORTA 26-year-old unmarried...Bibliography1. McGovernDawson JPJF: Purpura fulminans: report of a case coincident with varicella. Clin. Proc. Child. Hosp. 10: 114-118, 1954. MedlineGoogle Scholar2. Stroh M: Zur Klinik der Varicellen mit besonderer Berücksichtigung des Blutbefondes. Z. Kinderheilk. 26: 120-136, 1920. CrossrefGoogle Scholar3. Comby J: Traité des Maladies de l'Enfance. 4th Ed., J. Rueff, Paris, 1902, p. 65. Google Scholar4. Rundle C: A case of hemorrhagic varicella. Lancet 1: 1692, 1906. CrossrefGoogle Scholar5. Andrew J: A case of hemorrhagic varicella and a case of gangrenous varicella. Trans. Clin. Soc. 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