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Clinical Pediatrics
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Psychogenic Purpura in Adolescent Patients

Ricardo U. Sorensen, MD

Rainbow Babies and Childrens Hospital, 2101 Adelbert Road, Cleveland, OH 44106

Arthur J. Newman, MD

From the Department of Pediatrics, Case Western Reserve University, School of Medicine, and Rainbow Babies and Childrens Hospital, University Hospitals of Cleveland, Cleveland, Ohio

Erlinda M. Gordon, MD

From the Department of Pediatrics, Case Western Reserve University, School of Medicine, and Rainbow Babies and Childrens Hospital, University Hospitals of Cleveland, Cleveland, Ohio

The occurrence of psychogenic purpura has been documented in adults. The authors present their experience with nine adolescent and young adult patients observed since 1981. The age of eight of these patients ranged from 13 to 18 years. One patient with cystic fibrosis was 23-years- old. All patients presented with painful inflammatory lesions followed by bruising. There was no evidence of an infectious process or a hematologic, immunologic, or renal abnormality. Integral to the diagnosis was the existence of an underlying emotional disorder. In all patients, bruising decreased after diagnosis was explained to the patient and family. Four patients required psycho therapy. Results of 2-year follow-up suggest that early intervention may produce a favorable outcome in this age group.

Clinical Pediatrics, Vol. 24, No. 12, 700-704 (1985)
DOI: 10.1177/000992288502401206
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