Capillaritis in Child
Alerts and Notices
Synopsis
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
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
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Drug-induced nonpalpable purpura
- Fixed drug reaction
- Lichen planus
- Eczema is in the differential diagnosis of eczematid-like purpura of Doucas and Kapetanakis
- Leukocytoclastic vasculitis
- Mycosis fungoides
- Scurvy
- Idiopathic thrombocytopenic purpura
- Thrombotic thrombocytopenic purpura
- Petechiae from other causes (thrombocytopenia, disseminated intravascular coagulation, etc)
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:12/01/2016
Last Updated:12/01/2016
Last Updated:12/01/2016
Capillaritis in Child