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Petechiae

A petechia (plural petechiae) is a small (1-2mm) red or purple spot on the body, caused by broken capillary blood vessels (small blood vessels).

Suspected Petechiae should be seen by a doctor to rule out underlying conditions that may be dangerous.

Causes of Petechiae

Petechiae may be caused by a variety of factors including:
- Thrombocytopenia (low platelet counts)
- Vitamin and Mineral Deficiencies (i.e. Vitamin C deficiency or vitamin K deficiency[7]
- Prednisone Treatment

Pictures of Petechiae

[5]

[3]

[6]

[4]

References


Popular Threads Discussing Petechiae



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10-13-2011, 03:54 PM   #1
Soybean
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I get this all over my calves and feet, some days it's more wide spread than others. I noticed it years ago, you could only see it round my ankles then, but since aboot May it's spread all over. Mine is not as prominent as in the 1st picture, it's more like the spots by the heel. When I first showed it to my GP years ago she said 'It's petechiae and it's nothing to worry aboot' and when I recently mentioned it to my Rheumatologist she just brushed it off lol! first saying is it your hair follicles, when I said no she said maybe you just have sensitive skin and your skin gets damaged from drying it with a towel, she barely even looked at it.
xx
10-14-2011, 11:28 AM   #2
David
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I hate when doctors brush this kind of thing off as I believe it's always a signpost to something else, especially when it comes to IBD where malabsorption is an issue. Do you have low platelet counts? Have you tried supplementing vitamin C?
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10-14-2011, 11:45 AM   #3
Crohn's Mom
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I have this all over my upper chest, neck and now my arms. Every doctor I have ever seen "mentions" these "red spots". I have strangers ask me if I'm ok because of it. I hate it. Most doctors assume it's my liver causing it, but every time they run blood tests on my liver function they come back normal. One doctor thought I had Lupus because of it. Also normal ANA test.
Problem is...after they run a couple of blood test to see about their ONE theory, and they come back "fine"..that's where they stop. I don't get it. It's embarrassing quite frankly. I even have a few on my face now.
I try and search the internet but I can't find much in relation to them being where they are on me. Any ideas ??
10-14-2011, 11:59 AM   #4
Gwen pippy
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I have these on my chest, neck and face also. Can be embarrassing esp when your father-in-law asks if I'm a secret drinker!!! haha. I have had these from the time I was dx age 11 and it was only the kindness and enthusiasm of a junior doc that pointed them out and explained about them. I have one thats getting bigger on the edge of my upper lip and it can be a worry at times.
10-14-2011, 12:21 PM   #5
Crohn's Mom
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Thanks Gwen....are yours caused from Crohn's ? Or something else?
Ive never seen or met anyone else that has them like me so I am intrigued...I randomly look at strangers in stores or wherever just to see if I can find just one person like me ! LOL
10-14-2011, 03:21 PM   #6
Gwen pippy
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Yes mine are related to crohns, low platelets, my sister in-law has them on her face and neck and she is perfectly healthy so not sure where that fits in. I found that they would increase in numbers when I was pregnant but would fade after I gave birth, but the ones I get when I flare seem to stay with me. It can be very upsetting when people stare at them but I have tried to take the approach over the years that if my CD is under control I can well handle it.

Good Luck and let people think what they want, if they only knew the half of what we battle on a daily basis.
Gwen xxx
10-15-2011, 12:01 PM   #7
Soybean
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I hate when doctors brush this kind of thing off as I believe it's always a signpost to something else, especially when it comes to IBD where malabsorption is an issue. Do you have low platelet counts? Have you tried supplementing vitamin C?
I'm not sure what my platelet count is, I've got my next remicade infusion in 11 days so I'll ask my IBD nurse if she knows then.
Tbh I haven't tried supplementing with anything for years (apart from Calcichew D3 Forte), used to take vit b complex, antistax (red vine leaf extract) for tired achy legs and spider veins, multivitamins and minerals, vitamin E capsules, a hair, nail and skin supplement and poss something else that I can't remember now lol! I bought myself one of those 7 day pill dosing things, religiously sorted them all out every Sunday for aboot 3 months then gave up cos they didn't seem to make a blind bit of difference, but might be worth a try supplementing my vit c again now that I'm on remicade - maybe I'll absorb things a bit better now
Thanks xx
01-03-2012, 12:29 PM   #8
TracyH22
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My husband (who has Crohn's) developed these spots. After a blood test, his GI doctor sent him immediately to a blood specialist. My husband's platelet count was 4,000. The norm is 250,000. Since then (Thanksgiving Eve), he's been getting platelet transfusions because the doctor hasn't figured out yet what's causing the low platelets.

My husband's petechiae wasn't anywhere as bad as what's in the photos, so I definitely recommend anyone with these spots to get their platelet levels checked.
01-03-2012, 12:45 PM   #9
David
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Tracy, has any doctor mentioned the possibility of ITP to you?
01-03-2012, 01:02 PM   #10
TracyH22
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Hi, David!

Yeah, the doctor did mention that. When my husband's bone marrow biopsy came back normal, the doctor started him on Rituxan infusions because he thinks it may be ITP. He said if the Rituxan doesn't work, the next option is to remove his spleen.

He just had a parathyroid gland removed in May. I couldn't find any evidence that that was connected to his Crohn's, but it just seems like all of his medical issues can't be a coincidence.

I read that if he has his spleen removed, he'll need to be on an antibiotic for the rest of his life. I'm wondering how that would affect his Crohn's. It'd likely kill any good bacteria in his intestines.
01-03-2012, 01:14 PM   #11
David
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My sister has ITP. She was diagnosed at around the age of 12 and had her spleen removed at 14. She was supposed to go on antibiotics for the rest of her life but stopped around the age of 30 because it was doing her more harm than good. So far not being on the antibiotics hasn't negatively affected her that we're aware of, she's only been better off for it. Obviously everyone is different but it was the right decision for her. She's 37 now and doing fantastic.

In other news, one of the genes for ITP is also an IBD gene. My sister got ITP, I got IBD. Good times.

Why was his parathyroid removed?
01-03-2012, 01:20 PM   #12
TracyH22
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That's interesting about the ITP and IBD gene. I'm glad your sister is doing well!

My husband had one of his parathyroid glands removed because he had hyperparathyroidism--one of the parathyroid glands was enlarged, which was resulting in too much calcium in his blood.
01-03-2012, 01:21 PM   #13
David
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Did they happen to check for iodine and vitamin D deficiency before removing it? Crohnies are at much higher risk than the normal population for such deficiencies and both be contributing factors.

*edit* Actually, scratch the iodine, I got confused for a minute. Just the D would be important. My apologies!
01-03-2012, 01:44 PM   #14
TracyH22
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Yeah, they did check his Vitamin D levels. I can't remember what they were, but I think they were normal.
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