On clinical examination, 92 (89.3%) patients were reported to have bruises, 81 (78.6%) patients with petechiae
, 33 (32.0%) with epistaxis, 13 (12.6%) with hematemesis, and five (4.9%) patients with menorrhagia (Table-III).
of Cases Percentage Pancytopenia 72 32.7% Bicytopenia 58 26.4% Anaemia 42 19.1% Petechiae
14 6.4% Pyrexia of unknown origin 15 6.8% Organomegaly 5 2.3% Others 14 6.4% Table 2.
In conclusion, the possibility of EE should be investigated and examined in patients presenting with chronic diarrhea, early onset of neurological degeneration, recurrent petechiae
and orthostatic acrocyanosis.
There was no icterus, petechiae
, or bruises or lymphadenopathy.
The dentist was requested to document the following oral manifestations on a data collection sheet that was designed for the study: soft and hard palate ulcers, ecchymosis, petechiae
, lupus mucosae oris, cheilitis, candida, discoid, herpes simplex, gingivitis, periodontal disease, cavities, and missing teeth.
CASE 1 CASE 2 MAJOR CRITERIA Petechial Rash Yes No Respiratory Insufficiency Yes Yes Cerebral Involvement Yes Yes MINOR CRITERIA Tachycardia Yes Yes Pyrexia Yes Yes Retinal changes: fat or petechiae
Yes No Jaundice No No Renal: anuria/oliguria or lipiduria No No Sudden fall in hemoglobin concentration Yes Yes Sudden Thrombocytopenia No No High erythrocyte sedimentation Rate Yes Yes Fat macroglobulinemia No N/A
The macules studied in this work were vascular macules, petechiae
, macules due to trophic changes, and macules due to trauma.
Table 1 demonstrates the variety and usually nonspecific range of symptoms, including the general clinical symptoms of a systemic infection as well as the signs of sepsis with DIC, manifestations of the skin such as petechiae
or purpura, meningitis, endocarditis, and multiple organ failure [5, 11].
On skin examination, there are multiple purpuric annular plaques with central clearing, some with bullae and petechiae
, on the bilateral buttocks and legs.
On examination, widespread petechiae
located over pressure points and retinal vessel tortuosity were notable.
The rash rapidly evolves to pustules, petechiae
, and ecchymosis.