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Retiform purpura is a skin condition caused by compromised vasculature, leading to progressive purpuric skin changes, ischaemia and necrosis. There are infectious and non-infectious aetiologies. Infectious pathophysiologic mechanisms may be from direct vascular injury, vascular occlusion from septic emboli and disseminated intravascular coagulation (DIC). This can develop into purpura fulminans, a rapidly progressive intravascular thrombotic disorder characterised by worsening haemorrhagic infarction of the skin, DIC, multiorgan dysfunction and death. …
Contributors SNA, AK and MS prepared the manuscript. MS formatted the submitted images and performed the submission process to the journal.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.