Could This Be Stress-Induced Purpura?

Question

A five-year-old child developed small hemorrhagic spots below the eyes after crying. The platelet count was normal after hospital examination. The parents requested an expert diagnosis to determine whether this is a normal capillary hemorrhage or another condition?

Answer

This situation could possibly be stress-induced purpura, which usually does not cause severe problems. Stress-induced purpura occurs due to increased intravascular pressure following actions like coughing or vomiting, leading to regional capillary rupture and bleeding. It is commonly found in areas with more relaxed tissue, such as the face and neck. Generally, simple vasoconstrictive hemostatic agents or medications to increase platelets are recommended for treatment.