A Case of Majocchi Purpura: Clinical and Histopathological Approaches for Diagnosis

Fadhli Mughni, Sarah Mahri, Teffy Nuary, Rahadi Rihatmadja, Kusmarinah Bramono

2018

Abstract

Majocchi Purpura is one of the morphological varieties of pigmented purpuric dermatoses. They are rare disorders with unknown etiology, and characteristically presents as nonblanching petechiae, pigmentation, and the presence or absence of telangiectasia with a predilection for the lower extremities. They are usually asymptomatic and self-limiting, but tend to have a chronic course and are highly recurrent. The diagnostic approach for patients suspected with pigmented purpuric dermatoses is quite straightforward, with clinical observation and histopathological examination as the mainstay diagnostic modalities. However, this disorder may initially show similar manifestations as other cutaneous diseases, such as contact dermatitis, vasculitis, or mycosis fungoides, making it oftenly misdiagnosed and mistreated by dermatologists. We present a case of a 28-year-old woman initially referred with polyarteritis nodosum. However, the lesions were painless and consisted of several hyperpigmented annular patches that clinically resembled Majocchi Purpura. We submitted the case for biopsy with vasculitis as the differential diagnosis. Histopathological findings were consistent with pigmented purpuric dermatosis, that we commenced the treatment with symptomatic measures supplemented with antioxidants. Recognizing distinctive clinical patterns of disease was indispensable. Laboratory examinations had limitations, and their results needed to be interpreted within the clinical context. The correct diagnosis will prevent overtreatment and unnecessary healthcare visit by patient.

Paper Citation

in Harvard Style

Mughni F., Mahri S., Nuary T., Rihatmadja R. and Bramono K. (2018). A Case of Majocchi Purpura: Clinical and Histopathological Approaches for Diagnosis.In Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD, ISBN 978-989-758-494-7, pages 402-405. DOI: 10.5220/0008158404020405

in Bibtex Style

@conference{rcd18,
author={Fadhli Mughni and Sarah Mahri and Teffy Nuary and Rahadi Rihatmadja and Kusmarinah Bramono},
title={A Case of Majocchi Purpura: Clinical and Histopathological Approaches for Diagnosis},
booktitle={Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,},
year={2018},
pages={402-405},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0008158404020405},
isbn={978-989-758-494-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,
TI - A Case of Majocchi Purpura: Clinical and Histopathological Approaches for Diagnosis
SN - 978-989-758-494-7
AU - Mughni F.
AU - Mahri S.
AU - Nuary T.
AU - Rihatmadja R.
AU - Bramono K.
PY - 2018
SP - 402
EP - 405
DO - 10.5220/0008158404020405