Main Types of Purple and How to Treat It

The purple is a rare problem characterized by the emergence red spots on skin that do not disappear when pressed, being caused by the accumulation of blood under the skin due to inflammation of the blood vessels. The purple is more common in children but can appear at any age.

The emergence of the purple may be due to the different situations and, depending on its cause, it may be necessary to treatment or not. Normally in children the purple disappears without any specific treatment, whereas in the adult it may become a chronic problem, which can appear or disappear in periods.

It is important to consult a dermatologist or general practitioner when the symptoms of purple start to appear, so it is possible to identify the cause and start treatment, if necessary.

Types of purple

1. Purple Henöch-schonlein purpura

The purple Henöch-schonlein purpura, also known as PHS, is the type of purpura is more common in children under 10 years of age and is characterized by inflammation of small vessels, leading to the appearance of red spots, mostly on the legs and buttocks, and can lead to pain in the joints or in the abdomen. Get to know other symptoms of purple Henöch-schonlein purpura.

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How to treat: Typically the PHS does not require specific treatment, it being only important that the person is at rest and is accompanied by the doctor to assess the progression of symptoms. However, when there is much pain, the doctor may prescribe the use of anti-inflammatory drugs or analgesics, such as Ibuprofen and Paracetamol, to relieve the pain.

2. Idiopathic thrombocytopenic purpura

The idiopathic thrombocytopenic purpura or ITP is an autoimmune disease characterized by the decrease in the number of platelets by interfering in the coagulation process leading to formation of small red spots on the skin and bleeding through the nose. The diagnosis is made mainly through the analysis of the symptoms and the blood test, which in these cases indicates less than 10,000 platelets/mm3 of blood.

How to treat: The treatment for the PTI is done according to the severity of the symptoms, and can be recommended to use medicines that decrease the function of the immune system, avoiding that there is a reaction against the own body, injection of immunoglobulins or drugs that stimulate platelet production by the bone marrow, such as Romiplostim, for example. Learn more about what is PTI and how it is made the treatment.

3. Thrombocytopenic purpura thrombotic

The thrombocytopenic purpura thrombotic or PTT is a rare type of purple that is most frequent between 20 and 40 years. This type of purpura is characterized by increased platelet aggregation, leading to thrombus formation and causing the red blood cells are broken. In this way, it is important that the PTT will be quickly identified and treated as soon as possible to prevent anemia, loss of platelets and neurological changes.

How to treat: The treatment for the PTT should be started as soon as possible, and is usually recommended to perform the plasmaférese, which corresponds to a process of filtration of the blood in which the excess antibodies that may be detrimental to the functioning of the body and the blood circulation is removed.

4. Purpura fulminans

The purpura fulminans arises mainly in the newly-born due to lack of proteins related to coagulation, which leads to the formation of blood clots that may impede blood flow and lead to the appearance of red spots on the skin that can become black due to the death of cells in these locations.

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In addition, this type of purple can be triggered by bacterial infections, viral, or parasitic, for example.

How to treat: The treatment for purpura fulminans may be made for the administration of the protein coagulation absent in the blood in accordance with the guidance of the doctor.

5. Purpura senile

This type of purpura is characterized by the appearance of purple spots on the back, wrists, hands and forearms due to the aging of the skin, being therefore more common in people from the age of 65.

How to treat: The purple senile does not need to be treated, since it does not represent a risk to health, and is not indicative of bleeding. However, if the person feels disturbed, you can make use of some types of creams or ointments with vitamin K that help reduce the spots, and should be indicated by a dermatologist.

How is it treated

Treatment for purpura depends on its cause, but is typically done with the use of creams rich in vitamin K, such as the Thrombocid, which should be spread on the skin until the stains disappear.

In the more severe cases may be indicated to the intake of medicines corticoids, such as Hydrocortisone or Prednisone, or surgery for removal of the spleen, in the case of purple trombocitopênica, since it is this organ that are produced by antibodies that destroy platelets, causing the accumulation of blood in the skin. In children, infants or the newly born to the purple may disappear without treatment, but in the case of adults the treatment is always necessary.

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The main symptoms

The most common symptoms of purpura include:

  • Red spots on skin – learn more about other causes of red spots on the skin;
  • Dots of red scattered throughout the body;
  • Bleeding through the nose, bowels, gums, or urinary tract;
  • Pain in the location of the spots;

In the majority of cases arise only for small spots on the skin and normally do not require treatment.