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EF40.0 category

Capillaritis

Definition

Capillaritis results from extravasation of red blood cells from leaky capillaries into the dermis and manifests initially as a finely stippled pink to purple purpura, most commonly affecting the lower limbs. As iron is released and converted into haemosiderin, the skin stains gold or brown. Various patterns of capillaritis have been described and given separate names depending on the distribution, time course, extent and degree of pigmentation and presence or otherwise of epidermal thickening. The underlying processes involved in all these variants are very similar and of unknown cause. Histology may show mild inflammation around capillaries but no vasculitis.

Inclusions

  • Pigmented purpura

Exclusions

Also indexed as

CapillaritisDrug-induced capillaritisEczematid-like purpuraGougerot-Blum trisymptomeItching purpuraLichen aureusLichenoid capillaritisLichenoid purpuric dermatitisMajocchi capillaritisMajocchi diseaseMajocchi pigmented purpuric dermatosisMajocchi purpuraPigmented purpuraPigmented purpura due to drugPigmented purpuric lichenoid dermatitis of Gougerot and BlumPurpura annularis telangiectodes of MajocchiPurpura simplexSchamberg capillaritisSchamberg diseasemedicament-induced capillaritispigmented purpuric dermatosisprogressive pigmentary dermatosisprogressive pigmented purpuraprogressive pigmented purpura of Schamberg

Nearby in Vasculitis or capillaritis involving the skin