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Capillaritis in Child
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Capillaritis in Child

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Contributors: Connie R. Shi, Belinda Tan MD, PhD, Susan Burgin MD
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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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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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.

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References

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Last Reviewed: 12/02/2016
Last Updated: 12/02/2016
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Capillaritis in Child
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Capillaritis : Cayenne pepper like purpura, Lower leg
Clinical image of Capillaritis
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