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What may underlie recurrent purpura fulminans?

Karina J Kennedy, Sarah Walker, Paul Pavli, Lavinia Hallam and Chris Hemmings
Med J Aust 2007; 186 (7): 373-375.
Published online: 2 April 2007

A woman presenting with recurrent purpura fulminans was eventually found to have inflammatory bowel disease. We suggest the inflammatory state resulted in a deficiency of functional protein C.

A 28-year-old woman presented to hospital with a 1-week history of diarrhoea (three soft, non-bloody stools daily), 2 days of vomiting, and a 12-hour history of a purpuric truncal rash.

  • Karina J Kennedy1
  • Sarah Walker2
  • Paul Pavli3
  • Lavinia Hallam4
  • Chris Hemmings5

  • The Canberra Hospital, Canberra, ACT.

Correspondence: karina.kennedy@act.gov.au

Acknowledgements: 

We would like to thank Dr Chong Ong, who supplied one of the clinical pictures.

Competing interests:

None identified.

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