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Petechia of the lower leg in a person with platelets of 3 due to ITP (immune thrombocytopenia).The most common cause of petechiae is through physical trauma such as a hard bout of coughing, holding breath, vomiting, or crying, which can result in facial petechiae, especially around the eyes.
Portal hypertensive gastropathy can also be treated with endoscopic treatment delivered through a fibre-optic camera into the stomach. Argon plasma coagulation and electrocautery have both been used to stop bleeding from ectatic vessels, and to attempt to obliterate the vessels, but have limited utility if the disease is diffuse.
[3] [4] Hemorrhagic symptoms include the appearance of red, purple, or brown spots on the skin (petechiae) and mucosa within 3–4 days after the onset of symptoms, [4] coughing up blood or blood-stain mucus or airway bleeding , congestion of the conjunctiva in the eye, gastrointestinal bleeding, and intracranial bleeding.
Other symptoms include: headache, nausea and vomiting, abdominal pain, [14] muscle pain, [15] or a scarlatiniform rash or palatal petechiae, the latter being an uncommon but highly specific finding. [13] Symptoms typically begin one to three days after exposure and last seven to ten days. [3] [13]
Treatment of Wiskott–Aldrich syndrome depends on the severity of the disease. WAS is primarily a disorder of the blood-forming tissues, so in cases of severe disease (WAS score 3–5) the only widely available curative treatment currently available is a hematopoietic stem cell transplant (HCT).
Petechiae are seen on the chest, axilla, shoulder, and mouth. [5] Occulsion of dermal capillaries by the fat emboli result in petechial rash. Petechiae rash occurs in 50 to 60% of the cases. [7] Neurologic signs such as confusion, stupor, and coma may be present. These are usually temporary and do not happen on one side of the body.
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Abdominal pain and/or vomiting; Development of petechiae and/or purpura; No evidence of meningitis; History of conjunctivitis within the 30 days preceding the onset of fever; At least one of the following two tests negative for Neisseria meningitidis: Blood cultures taken before antibiotic administration; Serum or urine antigen detection[CDC]