Spicer T E, Rau J M
Am J Med. 1976 Oct;61(4):566-71. doi: 10.1016/0002-9343(76)90339-9.
Purpura fulminans is a rare disease characterized by cutaneous ecchymosis, hypotension and fever associated with disseminated intravascular coagulation. It usually follows a preparatory infectious illness. A case in a 55 year old woman challenges the concept that this disease is limited to childhood. A review of 100 case reports is presented in which the often quoted high mortality of 90 per cent is found to be no longer tenable.
暴发性紫癜是一种罕见疾病,其特征为皮肤瘀斑、低血压以及与弥散性血管内凝血相关的发热。它通常继发于前期的感染性疾病。一名55岁女性的病例对这种疾病仅限于儿童期的观念提出了挑战。本文对100例病例报告进行了综述,发现常被引用的90%的高死亡率已不再成立。