Differential Diagnosis > Morphology > Reaction Patterns Expanded > Necrosis > Dusky Purpura / Necrosis

Dusky Purpura / Necrosis

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cutaneous infarction only occurs when numerous vessels in the lower dermis and subcutis are occluded:

 

 

This list of diseases can present EITHER as "dusky" or "cyanotic" purpura that is not necrotic (yet) OR as frank necrosis OR both:

hmtoggle_plus1Dusky Purpura / Necrosis
thrombi (hypercoagulable) vs. embolic e.g. post-procedure - fat, cholesterol
monoclonal cryoglobulinemia
anti-phospholipid syndrome
calciphylaxis
coumadin necrosis
DIC
infection (e.g. ecthyma gangrenosum, mucormycosis, cryptococcal cellulitis,anthrax)
brown recluse spider bite
oxalate crystal occlusion