supplemental appendix 4
DESCRIPTION
Supplemental appendix 4. EXAMPLES OF BLEEDING MANIFESTATIONS*. Skin domain: slides 2 to 23 Mucosal domain: slides 24 to 30 Organ domain: slides 31 to 32. *Where not otherwise specified, pictures are taken from patients with primary ITP. Actual scale:. 1 cm. 2 cm. 3 cm. - PowerPoint PPT PresentationTRANSCRIPT
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Supplemental appendix 4
EXAMPLES OF BLEEDING MANIFESTATIONS*
Skin domain: slides 2 to 23Mucosal domain: slides 24 to 30Organ domain: slides 31 to 32
*Where not otherwise specified, pictures are taken from patients with primary ITP
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1 cm 2 cm 3 cmActual scale:
Courtesy by M. Michel
A crop of scattered petechiae
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Courtesy by F. Rodeghiero
Purpuric manifestations in a patient with septicemia and thrombocytopenia
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Courtesy by F. Rodeghiero
Allergic (maculopapular) skin reaction secondary to cephalosporin (should not be recorded)
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Courtesy by M. Michel
Recent scattered petechiae with confluence to form a purpuric macule (arrow)
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Courtesy by F. Rodeghiero
Synchronous recent scattered petechiae. Abrupt presentation in ITP
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Courtesy by F. Rodeghiero
Same patient. Synchronous recent scattered petechiae extending to the sole.
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Courtesy by F. Rodeghiero
Petechiae of various size and age
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Courtesy by F. Rodeghiero
Palpable purpura in a non thrombocytopenic patient
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Courtesy by R. StasiPetechiae and one ecchymosis larger than a patient’s palm size
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Six reddish-purple ecchymoses smaller than a patient’s palm size
Courtesy by M. Michel
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Courtesy by M. Michel
Leg ecchymoses and scattered petechiae (not recent)
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Courtesy by M. Michel
Several ecchymoses, one larger than patient’s palm size and no petechiae
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Courtesy by F. Rodeghiero
Old ecchymosis, dating more than 10-15 days and a small, recent one
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Courtesy by F. Rodeghiero
Extensive ecchymosis with underlying subcutaneous hematoma
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Courtesy by F. Rodeghiero
Simmetrical ecchymoses with underlying subcutaneous hematomas caused by self-administered LMWH in a patient with ITP and moderate thrombocytopenia (should not be recorded)
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Courtesy by F. Rodeghiero
Three old synchronous large ecchymoses and a few more recent petechiae
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Courtesy by F. Rodeghiero
Ecchymoses of various age
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Courtesy by F. Rodeghiero
Bullae and discoloration of skin not due to ITP (should not be recorded)
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Courtesy by F. RodeghieroVaste ecchymosis secondary to constriction
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Courtesy by F. Rodeghiero
Old small ecchymoses (sometimes seen in healthy people, purpura simplex)
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Courtesy by F. Rodeghiero
An old ecchymosis
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Courtesy by F. Rodeghiero
Very old ecchymosis (weeks) and some more recent petechiae
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Courtesy by M. Michel
Hemorrhagic bullae of various age, two 1-day old on the left tongue margin
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Courtesy by M. Michel
Hemorrhagic bullae of various age, two 1-day old on the left tongue margin
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Courtesy by M. Michel
Old (2-3 days) hemorrhagic bullae and facial petechiae of various age
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Courtesy by F. RodeghieroRecent hemorrhagic bullae (less than 2 days)
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Courtesy by F. Rodeghiero
Sublingual recente ecchymosis
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Partial hemorrhage in one eye and small peripalpebral ecchymosis in a patient with post-chemotherapy trombocytopenia
Courtesy by F. Rodeghiero
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Bilateral peripalpebral ecchymoses and complete subconjunctival hemorrhage in a patient with post-chemotherapy trombocytopenia
Courtesy by F. Rodeghiero
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Courtesy by M. Michel
Intracerebral hemorrage
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Pictorial Blood Assessment Chart
In Rodeghiero et al, Haemophilia 2008; 14:68-75