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petechia

 
Dictionary: pe·te·chi·a   (pə-tē'kē-ə) pronunciation
n., pl., -chi·ae (-kē-ī').
A small purplish spot on a body surface, such as the skin or a mucous membrane, caused by a minute hemorrhage and often seen in typhus.

[New Latin, from Italian petecchie, pl. of petecchia, spot on skin, perhaps from Vulgar Latin *petīcula, short for *impetīcula, diminutive of Latin impetīx, impetīc-, variant of impetīgō. See impetigo.]

petechial pe·te'chi·al adj.
petechiate pe·te'chi·ate (-ĭt) adj.

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Thesaurus: petechia
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noun

    A mark on the skin indicative of a disease, as typhus: stigma. See marks.

Veterinary Dictionary: petechia
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Pl. petechiae [L.] a minute, pinpoint, nonraised, perfectly round, purplish red spot caused by intradermal or submucous hemorrhage, which later turns blue or yellow.

Wikipedia: Petechia
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Petechia
Petechiaesmall.jpg

Multiple small petechiae.
ICD-10 R23.3
ICD-9 782.7
MeSH D011693

A petechia (pronounced /pɨˈtiːkiə/, plural petechiae /pɨˈtiːkɪ.iː/) is a small (1-2mm) red or purple spot on the body, caused by a minor hemorrhage (broken capillary blood vessels)[1].

The most common cause of petechiae is through physical trauma such as a hard bout of coughing, vomiting or crying, which can result in facial petechiae, especially around the eyes. Petechiae in this instance are completely harmless and usually disappear within a few days. Petechiae may be a sign of thrombocytopenia (low platelet counts) when platelet function is inhibited (e.g., as a side effect of medications or during certain infections), or in clotting factor deficiencies[1]. They may also occur when excessive pressure is applied to tissue (e.g., when a tourniquet is applied to an extremity or with excessive coughing).

If unsure, petechiae should always be quickly investigated. They can be interpreted as vasculitis, an inflammation of the blood vessels, which requires immediate treatment to prevent permanent damage. Some malignancies can also cause petechiae to appear. Petechiae should be investigated by a skilled health care provider immediately to rule out the more dangerous conditions. Dermatologists can be the most helpful specialists in these conditions because they can more easily identify if the condition is petechiae or some similar looking but less worrisome rash.

The significance of petechiae in children depends on the clinical context in which they arise. Petechiae in children can occur with viral infections. In this instance, they do not necessarily signify a serious illness. However, they are a hallmark signal of some potentially serious illnesses, such as meningococcemia, leukemia, and certain causes of thrombocytopenia. Therefore, their presence should not be ignored.

Contents

Associated conditions

Infections
Non-infectious conditions
Non-diseases

Forensics

Petechiae on the face and conjunctiva (eyes) are a sign of a death by asphyxiation. They are thought to result from an increase of pressure in the veins of the head and hypoxic damage to endothelial of blood vessels.[3]

See also

References

  1. ^ a b Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; & Mitchell, Richard N. (2007). Robbins Basic Pathology (8th ed.). Saunders Elsevier. p. 86 ISBN 978-1-4160-2973-1
  2. ^ Grayson MD, Charlotte (2006-09-26). "Typhus". MedlinePlus Medical Encyclopedia. National Institutes of Health. http://www.nlm.nih.gov/medlineplus/ency/article/001363.htm. Retrieved 2007-11-05. 
  3. ^ Ely, Susan F.; Charles S. Hirsch (2000). "Ashpyxial deaths and petechiae: a review" (PDF). Journal of Forensic Science 45 (6): 1274–1277. http://www.charlydmiller.com/LIB04/2000petechiaereview.pdf. Retrieved 2007-09-22. 

 
 

 

Copyrights:

Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Thesaurus. Roget's II: The New Thesaurus, Third Edition by the Editors of the American Heritage® Dictionary Copyright © 1995 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Petechia" Read more