Pigmented Purpura Overview

There are several types of pigmented purpura, also called capillaritis, but the most common condition appears as pinhead-sized, reddish brown spots sprinkled in clusters on the skin, usually on the legs. The condition can fade away in a few weeks or months, or it can last years. To date, there is no effective treatment for pigmented purpura.

Causes of Pigmented Purpura

The cause (etiology) of pigmented purpura is generally unknown. There may be tiny blood vessel (capillary) fragility that allows red blood cells to escape into the skin. These eruptions can occur in young as well as older adults. Onset has been noted as a side effect of certain medication, as a reaction to certain foods, or due to a viral infection.

Signs & Symptoms of Pigmented Purpura

Typically, pigmented purpura appears as a brownish patch with a peppering of red dots, representing freshly extruded red blood cells, overall and at the lesion's edge. Discoloration is caused mostly by the escaped red blood cells depositing their iron molecules into the skin. The lesions can last for months to years. This condition is found most commonly on the legs and ankles but can appear on the thighs, arms, and trunk. Sometimes an eruption occurs on one side of the body. Some types of the condition are itchy or scaly.

Publication Review By: Stanley J. Swierzewski, III, M.D.

Published: 31 Aug 2000

Last Modified: 02 Sep 2015