Petechiae and ecchymoses
were present over his arms, legs, and trunk.
4) Petechiae, ecchymoses
, and hemorrhagic blisters may also be present.
The noteworthy characteristic of these ecchymoses
is that they begin with local itching, burning, or pain before the lesions appear.
A 8-year-old girl with immune thrombocytopenic purpura (ITP) who had ecchymoses
on the body and a history of falling in the school was diagnosed as physical abuse as a result of evaluation by the departments of pediatric psychiatry and forensic medicine.
This author describes 71 patients, most of them females, with lesions compatible with such entity; the ecchymoses
appear weeks or days after trauma or surgery, but the most frequently related factor was emotional stress.
Skin Thinning, Ecchymoses
, Striae, Acne, and Hirsutism
Half also had periorbital ecchymoses
or "raccoon eyes" and some had "sporadic amnesia".
Henry Battle, in 1890, had originally associated mastoid ecchymoses
with fracture of posterior cranial fossa of skull, not a middle fossa fracture.
Symptomatic patients often present with large hematomas, extensive ecchymoses
or severe mucosal bleeding including epistaxis, gastrointestinal bleeding, and gross hematuria.
The patient presented with facial swelling, periorbital ecchymoses
, subconjunctival hemorrhage, corneal edema, and exophthalmos.
The mucocutaneous pattern is a superficial bleeding, such as epistaxis, petechiae and ecchymoses
The patients with STSS had a shorter incubation period and a higher frequency of gastrointestinal symptoms, coma, and petechiae and ecchymoses
than did other patients (Table 3).