actinic purpura; solar purpura; senile purpura

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Etiology

Pathology

Clinical manifestations

  • occurs on sun-exposed areas of skin, especially forearms
  • initiated by minor trauma or unrecongnized event
  • irregularly-shaped, well demarcated violaceous macules
  • variable size, a few millimeters to several centimeters
  • lesions asymptomatic
  • lesions persist for many weeks

* images[4]

Laboratory

  • no testing indicated[2]

Management

More general terms

References

  1. Gilchrest BA, Aging of the Skin, In: Principles of Geriatric Medicine, 4th ed,, Hazzard et al (eds), McGraw-Hill, NY, 1999, pg 573-602
  2. 2.0 2.1 Medical Knowledge Self Assessment Program (MKSAP) 17, 18, 19. American College of Physicians, Philadelphia 2015, 2018, 2021.
    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  3. Schwartz RA, James WD Medscape: Actinic Purpura http://emedicine.medscape.com/article/1087008-overview
  4. 4.0 4.1 DermNet NZ. Senile purpura (images) http://www.dermnetnz.org/vascular/senile-purpura.html