Article Text

other Versions

Download PDFPDF
Idiopathic purpura fulminans
  1. Abheek Sil,
  2. Dibyendu Bikash Bhanja,
  3. Sayantani Chakraborty
  1. Dermatology, Venereology, and Leprosy, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
  1. Correspondence to Dr Abheek Sil, Dermatology, Venereology, and Leprosy, RG Kar Medical College and Hospital, Kolkata, West Bengal 700004, India; abheek.sil{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 48-year-old diabetic woman presented with 2-day history of fever and skin discolouration over hand. On admission, her vital parameters were stable and systemic examination unremarkable. Cutaneous examination revealed well-defined dusky ecchymotic patches with tender indurated margins, haemorrhagic bulla, focal gangrenous necrosis and ulceration involving the right hand (figure 1). Routine laboratory investigations including coagulation profile, protein C and S, antithrombin III and fibrin degradation products were within normal range. Blood …

View Full Text


  • Contributors AS contributed to initial patient assessment and follow-up, conception, drafting of manuscript and final approval of manuscript. DBB and SC contributed to conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.