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Capillaritis in Child
Other Resources UpToDate PubMed

Capillaritis in Child

Contributors: Connie R. Shi MD, Belinda Tan MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Capillaritis, also known as the pigmented purpuric dermatoses (PPD) or benign pigmented purpura, refers to a collection of benign cutaneous conditions characterized by the appearance of cayenne pepper-like petechiae, purpura, and golden-brown pigmentation on the legs and less commonly on the trunk and upper extremities.

Several distinct clinical entities have been described:
  • Schamberg disease: the most common manifestation of PPD in children
  • Purpura annularis telangiectodes (Majocchi disease)
  • Eczematid-like purpura of Doucas and Kapetanakis
  • Pigmented purpuric lichenoid dermatosis of Gougerot and Blum
  • Lichen aureus
  • Linear pigmented purpura
  • Granulomatous pigmented purpura
While PPD is uncommonly seen in children, all subtypes have been reported in the pediatric population.

Development of capillaritis has been associated with venous hypertension, increased capillary fragility, gravity, exercise, and focal infections. In the pediatric population, many cases are thought to be idiopathic.

Capillaritis is typically asymptomatic but may be pruritic. It is usually a chronic condition with intermittent exacerbations and remissions. There is no geographic or hereditary population predilection.

Codes

ICD10CM:
I78.8 – Other diseases of capillaries

SNOMEDCT:
85461008 – Capillaritis

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Last Reviewed:12/01/2016
Last Updated:12/01/2016
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Capillaritis in Child
A medical illustration showing key findings of Capillaritis : Cayenne pepper like purpura, Lower leg
Clinical image of Capillaritis - imageId=221951. Click to open in gallery.  caption: 'Multiple tiny, cayenne pepper-type petechiae and golden-brown macules on the thigh.'
Multiple tiny, cayenne pepper-type petechiae and golden-brown macules on the thigh.
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