Differential Diagnosis > Morphology > Reaction Patterns Expanded > Purpura > Acral Purpura

Acral Purpura

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Purpura - acral and symmetric

Rocky Mountain Spotted Fever
Glove and Stockings Purpura (parvovirus B19)
Atypical Measles

 

Purpura - acral and sparsely scattered:

emboli
cryoglobulins
septic vasculitis
subacute bacterial endocarditis

 

purpura of the palms = Letterer-Siwe disease (a finding seldom seen in other dermatoses)