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Petechial Rash - Approach

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Clinical Problem Solvers

Clinical Problem Solvers

Күн бұрын

The petechial rash is a non-blanching rash due to the extravasation of RBCs.
It can result from problems with hemostasis or vessel wall.
Remember that vasculopathy can either be inflammatory (vasculitis) or noninflammatory.
We hope this helps you reason through the patient with a petechial rash.
Relevant videos:
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Image of petechial rash from James Heilman, MD, CC BY-SA 4.0 creativecommon..., via Wikimedia Commons

Пікірлер: 95
@shereehi5539
@shereehi5539 2 жыл бұрын
Interesting to see things besides leukemia...so I can be less paranoid.
@shereehi5539
@shereehi5539 2 жыл бұрын
Or not😭☹️
@user-nx8fn7jg1r
@user-nx8fn7jg1r Ай бұрын
Some conditions here are at least as serious as leukaemia, I'm afraid.
@Jennifer-vk2vc
@Jennifer-vk2vc 3 жыл бұрын
Thank you. Last couple years they’ve been appearing in more places and haven’t gone away. Abdomen, chest, palms, arms, and lower legs. The ones on my arms and lower legs starting appearing recently but they are pretty small and scattered. Glad to find some info. Have a few other things going on. Maybe they are all connected.
@soniac2156
@soniac2156 2 жыл бұрын
How are you now, has it gone away?
@Pallas1211
@Pallas1211 Жыл бұрын
No it has not gone away.
@saintman9460
@saintman9460 Жыл бұрын
@@Pallas1211 did you have covid? Faced petechiae for the first time after covid.
@maheshjoshi7387
@maheshjoshi7387 Жыл бұрын
I have also same , how to treat them?
@grouchosays
@grouchosays Жыл бұрын
I get these frequently. They stay around for about one week. I have read the they are a symptom of leukemia. I had an MRI today. Freaked out.
@shivachandar4094
@shivachandar4094 Ай бұрын
Brilliant lecture! Makes the thought process very sharp and astute.
@samymady7724
@samymady7724 3 жыл бұрын
Loving those videos. Learning a ton from them! Keep this good work up!
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
Thank you so much for your kind comment!!
@zanetruesdale7263
@zanetruesdale7263 Жыл бұрын
​@@clinicalproblemsolvers1733 help pls
@p214james
@p214james 3 жыл бұрын
From bottom of my heart :THANKS.
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
Thank you!!!!!
@mohkarimify
@mohkarimify 2 жыл бұрын
Please make more of these videos you are a lifesaver
@chilloutshah1
@chilloutshah1 3 жыл бұрын
I love these little videos... thank you for making them.
@nd0158
@nd0158 Жыл бұрын
My little boy has a petechial rash on his inner thigh. It is about the size of a silver dollar. It’s an odd place. No injury. He found it while going to the bathroom last night. He woke up this morning with a wet cough and feeling tired but aside from that he’s ok. I don’t want to be an alarmist so I’m watching it. I’ll take him in if it worsens. I’m second guessing myself though.
@zakariyyagardee8934
@zakariyyagardee8934 2 жыл бұрын
Please make more of these videos. Would love having the schemas on the websites narrated by Rabih or Reza :)
@mquezada0908
@mquezada0908 2 жыл бұрын
Excellent video. Easy to understand and very informative. Thanks for sharing
@sunifernando6307
@sunifernando6307 3 жыл бұрын
These videos making my future flashier than the shirt you're wearing
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
HAHAHAHAHHA, I went bold :)
@adoptmeeverything
@adoptmeeverything 3 жыл бұрын
Thank you. These little knowledge boluses are great. Please keep them up.
@dunndee9570
@dunndee9570 4 ай бұрын
Would you touch on how to treat vasculitis please 🙏?
@mahaatef6717
@mahaatef6717 3 ай бұрын
I like this too much
@Maria-qm9cg
@Maria-qm9cg Жыл бұрын
Thank you Dr. Very simple explanations for complex concepts.
@l.j.2917
@l.j.2917 3 жыл бұрын
Wow i really liked this talk. Thanks! And it was very helpful too! I noticed these little spots on my skin when i started working out but really pushing myself, especially in the weight room, and now i see it's possibly due to me traumatizing the vessels. 🤔
@phildendron4702
@phildendron4702 Ай бұрын
thank you
@thomashudsan2103
@thomashudsan2103 2 жыл бұрын
Thanks, it was very educational information.
@prantikkanrar4889
@prantikkanrar4889 6 ай бұрын
It's pure art ❤
@ltfkdk861
@ltfkdk861 10 ай бұрын
excellent presentation!!
@user-nx8fn7jg1r
@user-nx8fn7jg1r Ай бұрын
I heard one dermatologist saying that compression socks can be used as a treatment to prevent leakage and petechiae. How can these be the cause and treatment at the same time?
@sharonvelardo5562
@sharonvelardo5562 2 жыл бұрын
I got purpuric rashes on my legs. I've been dealing with them for more than 10 years. Doctors prescribe antibiotics and corticoids 😓😓 they disapear for a while leaving no marks but reapears. My biopsy results was "Angioedema".
@Namanhebbar
@Namanhebbar Жыл бұрын
This was very very helpful!
@chrissy6005
@chrissy6005 Ай бұрын
How can i treat EDS petechiae all over the body? I can't wear a t-shirt without people looking at my skin rash. It's so bad.
@MadhouzProductions
@MadhouzProductions 2 жыл бұрын
What about meningococcemia?
@dunndee9570
@dunndee9570 4 ай бұрын
Im new for vasculitis rash since march 2024. All my organs fine so far but rash and flare ups are here 😢 if i stay home it is gone if start walking it come back
@ajazkmu3647
@ajazkmu3647 2 жыл бұрын
good lecture❤👌👌👌👌
@CarolynFahm
@CarolynFahm 3 жыл бұрын
I had a petechial rash from a drug reaction to phenytoin many years ago.
@lisakorb9296
@lisakorb9296 6 ай бұрын
Oh my gosh, this video made so much sense! I've been dealing with a petechial rash for a couple of years now, and no dr could ever explain it. I have fibromyalgia and sjogrens along with spinal arthritis. Did I understand that those inflammatory conditions could be a part of the reason for the petechial rash? I have stopped using nsaids at my Dr's recommendation, and the rash appears l less often now.
@theakharizza2693
@theakharizza2693 2 ай бұрын
how are you now? Do you still have it on and off?
@jayleon89
@jayleon89 11 ай бұрын
I don't have rashes but just small red pin prick dots randomly everywhere and some that look like dark red pin pricks. It's unsettling
@user-zd9eb5li7b
@user-zd9eb5li7b 4 ай бұрын
What about in the face?
@shoghimas4578
@shoghimas4578 Жыл бұрын
I often used compression socks in my everyday standing jobs during five years, and it's been already one year that I noticed side effects, having developed petechial rash on my ankle: Lateral/anterior parts. As soon as I noticed the cause, I did not wear compression socks any more, however the rash stays there, and it does not disappear. What can I do for it to heal.
@Yawomiyati
@Yawomiyati 2 ай бұрын
هل يمكن مساعدتي بالترجمة لا افهم اللغة ❤
@AnaDiaz-vx4bv
@AnaDiaz-vx4bv 11 ай бұрын
I’m getting petechia on my neck and chest after I do gym and it’s itchy what can I do? Thanks 😊
@direwolf7491
@direwolf7491 Жыл бұрын
I have noticed petechiae and pupura my legs, thighs and rarely arms for few years now. I have developped gluten and seafood allergies recently. Usually these appeared in cold weather and after consuming seafood accompanied by stomach bloating etc. Is there any relation with allergies or I should be worried about something worse?
@anthonyportugal9013
@anthonyportugal9013 Жыл бұрын
Do I go to primary doctor? Or ER. & what if left untreated
@cbo9090
@cbo9090 2 жыл бұрын
If a person was taking an immunosuppressant for psoriasis and then stopped and the psoriasis came back quickly and aggressively, could this be a cause for petechial rash?
@immadisarojini2775
@immadisarojini2775 2 жыл бұрын
Super
@bjegorovicmd
@bjegorovicmd 3 жыл бұрын
Great video Reza, keep good work with your team! I want to point to one mistake - You said: "Extravasation of red blood vessels", but we know what you were thinking. ;)
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
AHHAHAHAHA, glad you did not give me the thumbs down for that Boris, LOL. I hope you are well my dear friend.
@bjegorovicmd
@bjegorovicmd 3 жыл бұрын
@@clinicalproblemsolvers1733 Never thumbs down. We must keep spirit up!
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
@@bjegorovicmd LOL!!!
@rg2967
@rg2967 3 жыл бұрын
Thank you very much for this video. Derm is not so scary after all :)
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
LOL. Yes, I find it quite challenging. At least one of the topics down together :)
@AkumosBDF
@AkumosBDF 3 жыл бұрын
Petechial hemorrhage can be caused by hyperadrenocorticism which causes bone marrow suppression and eventually death
@katmeg1117
@katmeg1117 10 ай бұрын
My mom is 63 on so many medicines omeprwzole statins etc. When she bumps she immediately gets bruised and many times some tiny spot in her fingure brown purple i WORRY TO DEATHcbc normal prothrombin normal 3.months ago
@user-ml8ed8gm3t
@user-ml8ed8gm3t 3 жыл бұрын
Thank you
@blondek767
@blondek767 2 жыл бұрын
Hi! I have MCTD w/APS high platelets not low. It’s a rare combination and no one has been able to answer why I have red spots. They are on my feet and ankles then creep up my legs to my groin, and are on my hands creeping up my arms. I have some on my face, too. They did a biopsy and it came back negative. I’ve been to two dermatologists, and they cannot explain them. Because my condition is similar to Lupus, they tried hydroxychloroquine sulfate, but it enflamed my red spots and they started to burn really bad after two weeks on the drug. Because MCTD is a ‘basket’ of different immune disorders, the polymytosis is the worst. Where I get the red spots, I’ve been losing muscle mass. I have skeleton hands and feet, and ankles, and again, it creeps up my legs, which are slender and my arms are too. I’ve noticed rashes on my breasts this past year, but my stomach is bloated. I have trouble swallowing food, my esophagus doesn’t always work, and has much scar tissue from years of throwing up. I was severely low on potassium, which now with my numbers at about 3.2, a bare minimum, I no longer throw up. Sometimes my spots increase, but never go away, they just appear slower. It’s just weird how you can see my bones on the backs of my hands. I had two heart attacks last year, (unvaxed), now on blood thinners, I am only here by the grace of God. It would be nice to know why I’m getting spots...it started 20 years ago, just on my ankles.
@fredturner4447
@fredturner4447 2 жыл бұрын
I also have it on my ankles.
@blondek767
@blondek767 2 жыл бұрын
Do you have muscle loss? My hands and feet now look skeletal. The spots now have creeped up my legs, which have lost much muscle and have zero fat. Also hair loss on my legs and arms. I’ve found getting pedicures help, the lady massages my feet and ankles to help with blood flow. Cheaper than physical therapy, lol. But my feet to my shins look awful, scratches and bruises do not go away. They look like someone beat me with a stick.
@fredturner4447
@fredturner4447 2 жыл бұрын
@@blondek767 ​Yes, I have muscle and weight loss and almost all the hair on my legs is gone. I don't have the issue on my arms. I saw something about using a rebounder on youtube being good for the lymphatic system. You might also check into that.
@blondek767
@blondek767 2 жыл бұрын
I will research that! Thank you! I have found that keeping my feet up in intervals helps because my feet go numb if I stand or walk too much. Also, keep them warm. I sleep with socks on and use slippers all the time. I bought a package of white cotton ankle socks and bleach them. This way it avoids bacteria. With my hands, I bought multiple pairs of cheap stretchy gloves, keep them everywhere so when I go out I must wear them. My hands go numb when they get even a little bit cold. I’m on blood thinners now to improve circulation. In these warm days of summer, I try to go barefoot as much as possible, walking around outside, to toughen up my feet to force my body to increase blood flow to them. I found no benefits to eating healthy, but did in taking vitamins. It’s a funny thing. I often joke around about it...I take so many vitamins I don’t need to eat food. Cardboard will do!
@fredturner4447
@fredturner4447 2 жыл бұрын
@@blondek767 Interesting about the vitamins. I've heard wool socks are good. Also saw someting about increasing the incline of the foot of ones bed.
@kylielandingin5737
@kylielandingin5737 2 жыл бұрын
I get petechiae on my arms when I carry plastic bags or eco bags. Anyone who gets it too?
@grouchosays
@grouchosays Жыл бұрын
I get them for no reason.
@megan8765
@megan8765 3 жыл бұрын
I have petechiae, bruising, hemorrhoids, and bleeding gums yet my cbc is normal. Idk what to do now
@darouche3318
@darouche3318 3 жыл бұрын
This could be a sign of lukaemia please get your doctor to give you a bone marrow test to be sure
@megan8765
@megan8765 3 жыл бұрын
@@darouche3318 i’ve had symptoms for almost 8 months now, i’m pretty sure if it were leukemia i’d be dead right now. Or extremely sick at the very least
@darouche3318
@darouche3318 3 жыл бұрын
@@megan8765 some people have symptoms for longer than that and are still here with lukaemia but I would have a bone marrow aspirate just in case. I just wanted to warn you as same thing happened to my sister and she never thought she had lukaemia but now she has been rushed to hospital and is having chemo
@megan8765
@megan8765 3 жыл бұрын
@@darouche3318 i’m not sure how it didn’t show up on her bloodwork then. Almost all leukemias are detected by simple blood tests. I have had three tests-ever since september-come back normal. Nothing’s borderline or anything
@MeganJohnson913
@MeganJohnson913 3 жыл бұрын
I am experiencing petechiae and have been for maybe over a month now. The rash has yet to go away but the itching comes & goes. I believe its solely from me shaving on dry skin (probably my biggest mistake). I'm not going to worry about it too much but I will keep my eye on it.
@zanetruesdale7263
@zanetruesdale7263 Жыл бұрын
I have petechiae and its already spreading. Im at a bit panic i hope you reply sir. I dont feel any symptoms but its just spreading. I dont know if its connected to my skin disease on my neck but they started almost the same time.
@WhatEver-lb8jz
@WhatEver-lb8jz 10 ай бұрын
Are u good?
@zanetruesdale7263
@zanetruesdale7263 10 ай бұрын
@@WhatEver-lb8jz i think so
@WhatEver-lb8jz
@WhatEver-lb8jz 10 ай бұрын
@@zanetruesdale7263 what about your blood test?
@WhatEver-lb8jz
@WhatEver-lb8jz 10 ай бұрын
@@zanetruesdale7263 I've searched all over the internet Google says it's a sign of leukemia I'm going crazy
@konosamero3654
@konosamero3654 Жыл бұрын
👍🏼👍🏼👍🏼👍🏼👍🏼👍🏼👍🏼👍🏼
@ckim336155
@ckim336155 3 жыл бұрын
note to self: get clear ruler
@clinicalproblemsolvers1733
@clinicalproblemsolvers1733 3 жыл бұрын
LOLOL, Carlos :)
@Alan-mp1nf
@Alan-mp1nf 2 жыл бұрын
When he easily explains why petechiae are nonblanchable in such an intuitive way Me: 🤯
@maggiehelms3449
@maggiehelms3449 3 жыл бұрын
i’ve had petechia for literally like 4 years am i dying
@megan8765
@megan8765 3 жыл бұрын
no
@vibhoarbajaj9730
@vibhoarbajaj9730 3 жыл бұрын
Hey i have it for 2 probably can u tell your condition?
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