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Purpura senilisD69.2

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

actinic purpura; Bateman's purpura; purpura actinca

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HistoryThis section has been translated automatically.

Bateman, 1818

DefinitionThis section has been translated automatically.

Purpura appearing at higher age in light-exposed body parts, s.a. Purpura factitia senilis.

EtiopathogenesisThis section has been translated automatically.

Actinic and age-related, degenerative damage to the vessel walls and the surrounding collagenous connective tissue (this manifests itself mainly in a senile (actinic) elastosis) The bleeding usually occurs due to banal, acute shear forces of the skin and is correspondingly visible in mechanically exposed areas (extensor side of the lower arm, back of the hand).

ManifestationThis section has been translated automatically.

Occurs in 5-15% of older adults, usually after the age of 60.

LocalizationThis section has been translated automatically.

Chronically sun-exposed skin areas, especially the back of the hand and forearm extensor sides are affected.

Clinical featuresThis section has been translated automatically.

0.1 cm - max. 3.0 cm in size, different, mostly bizarrely configured, sharply defined, reddish to blue-red, hemorrhagic spots in atrophic thin skin. Later caused by haemosiderin deposits, transition to brownish-red or brownish-yellow discoloration of the skin. S.a.u. Purpura cachectica, s.a.u. Purpura solaris.

Complication(s)This section has been translated automatically.

Since the actinically severely damaged skin is subject to additional physiological involution with increasing age, there is a great danger of vulnerability. Here, the skin can peel off its support like a wet handkerchief.

TherapyThis section has been translated automatically.

Skin care with moisturising external agents (e.g. ash base ointment, linola fat, Exicipial U Lipolotio, Lipoderm). Avoidance of trauma. Light compression therapy to support the lower legs ( compression stockings class I to II). If necessary, light protection (e.g. Daylong 16 or Anthelios).

LiteratureThis section has been translated automatically.

  1. Bateman TA (1813) Exanthema. In: Practical Synopsis of Cutaneous Diseases. Longman, Hurst, Rees, Orme & Brown, London, S. 118-119

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer