Language

English

Publication Date

2-1-2026

Journal

JAAD Case Reports

DOI

10.1016/j.jdcr.2025.11.049

PMID

41551630

PMCID

PMC12809482

PubMedCentral® Posted Date

12-15-2025

PubMedCentral® Full Text Version

Post-print

Abstract

A 7-year-old girl presented with a 10-day history of generalized purpura and petechiae. The eruption began with a solitary violaceous macule on the trunk and progressed within 1 week to multiple oval and round dark-red to violaceous purpuric macules, ecchymoses, and petechiae affecting the face, trunk, and extremities. Lesions were distributed parallel to skin cleavage lines with a characteristic “Christmas-tree” pattern on the back (Fig 1). No oropharyngeal lesions were noted on examination, and the patient denied sore throat or oral discomfort. She reported no pruritus, pain, fever, or systemic symptoms.

Keywords

atypical pityriasis rosea, case report, pediatric dermatology, purpuric pityriasis rosea

Published Open-Access

yes

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