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 not otherwise specified, pictures are taken from patients with prim
Jan 05, 2016
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
1 cm 2 cm 3 cmActual scale:
Courtesy by M. Michel
A crop of scattered petechiae
Courtesy by F. Rodeghiero
Purpuric manifestations in a patient with septicemia and thrombocytopenia
Courtesy by F. Rodeghiero
Allergic (maculopapular) skin reaction secondary to cephalosporin (should not be recorded)
Courtesy by M. Michel
Recent scattered petechiae with confluence to form a purpuric macule (arrow)
Courtesy by F. Rodeghiero
Synchronous recent scattered petechiae. Abrupt presentation in ITP
Courtesy by F. Rodeghiero
Same patient. Synchronous recent scattered petechiae extending to the sole.
Courtesy by F. Rodeghiero
Petechiae of various size and age
Courtesy by F. Rodeghiero
Palpable purpura in a non thrombocytopenic patient
Courtesy by R. StasiPetechiae and one ecchymosis larger than a patient’s palm size
Six reddish-purple ecchymoses smaller than a patient’s palm size
Courtesy by M. Michel
Courtesy by M. Michel
Leg ecchymoses and scattered petechiae (not recent)
Courtesy by M. Michel
Several ecchymoses, one larger than patient’s palm size and no petechiae
Courtesy by F. Rodeghiero
Old ecchymosis, dating more than 10-15 days and a small, recent one
Courtesy by F. Rodeghiero
Extensive ecchymosis with underlying subcutaneous hematoma
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)
Courtesy by F. Rodeghiero
Three old synchronous large ecchymoses and a few more recent petechiae
Courtesy by F. Rodeghiero
Ecchymoses of various age
Courtesy by F. Rodeghiero
Bullae and discoloration of skin not due to ITP (should not be recorded)
Courtesy by F. RodeghieroVaste ecchymosis secondary to constriction
Courtesy by F. Rodeghiero
Old small ecchymoses (sometimes seen in healthy people, purpura simplex)
Courtesy by F. Rodeghiero
An old ecchymosis
Courtesy by F. Rodeghiero
Very old ecchymosis (weeks) and some more recent petechiae
Courtesy by M. Michel
Hemorrhagic bullae of various age, two 1-day old on the left tongue margin
Courtesy by M. Michel
Hemorrhagic bullae of various age, two 1-day old on the left tongue margin
Courtesy by M. Michel
Old (2-3 days) hemorrhagic bullae and facial petechiae of various age
Courtesy by F. RodeghieroRecent hemorrhagic bullae (less than 2 days)
Courtesy by F. Rodeghiero
Sublingual recente ecchymosis
Partial hemorrhage in one eye and small peripalpebral ecchymosis in a patient with post-chemotherapy trombocytopenia
Courtesy by F. Rodeghiero
Bilateral peripalpebral ecchymoses and complete subconjunctival hemorrhage in a patient with post-chemotherapy trombocytopenia
Courtesy by F. Rodeghiero
Courtesy by M. Michel
Intracerebral hemorrage
Pictorial Blood Assessment Chart
In Rodeghiero et al, Haemophilia 2008; 14:68-75