Exercise-induced progressive pigmentary purpura of the forehead

Hwa, Charlotte; Brauer, Jeremy A.; Mundi, Jyoti P; Wu, Julie M.; Patel, Rishi; Greenspan, Alan; Stein, Jennifer A.

doi:10.1016/j.jaad.2011.07.027

Cited by 4 publications

(5 citation statements)

References 4 publications

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“…Out of 48 full-texts assessed for eligibility, 11 articles were excluded because they were not on yoga [13]–[20], were not case reports or case series [21]–[23], or were double publications on the same case [24]. Finally, 35 case reports [25]–[59] and 2 case series reporting on a total of 76 unique cases were included [60], [61] (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

2013

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While yoga is gaining increased popularity in North America and Europe, its safety has been questioned in the lay press. The aim of this systematic review was to assess published case reports and case series on adverse events associated with yoga. Medline/Pubmed, Scopus, CAMBase, IndMed and the Cases Database were screened through February 2013; and 35 case reports and 2 case series reporting a total of 76 cases were included. Ten cases had medical preconditions, mainly glaucoma and osteopenia. Pranayama, hatha yoga, and Bikram yoga were the most common yoga practices; headstand, shoulder stand, lotus position, and forceful breathing were the most common yoga postures and breathing techniques cited. Twenty-seven adverse events (35.5%) affected the musculoskeletal system; 14 (18.4%) the nervous system; and 9 (11.8%) the eyes. Fifteen cases (19.7%) reached full recovery; 9 cases (11.3%) partial recovery; 1 case (1.3%) no recovery; and 1 case (1.3%) died. As any other physical or mental practice, yoga should be practiced carefully under the guidance of a qualified instructor. Beginners should avoid extreme practices such as headstand, lotus position and forceful breathing. Individuals with medical preconditions should work with their physician and yoga teacher to appropriately adapt postures; patients with glaucoma should avoid inversions and patients with compromised bone should avoid forceful yoga practices.

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Section: Resultsmentioning

confidence: 99%

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

2013

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“…In addition, Perls's stain demonstrates the presence of iron (hemosiderin) in the superficial dermis. Unlike EIV, leukocytoclasia is not observed in exercise‐induced capillaritis 7,8 …”

Section: Discussionmentioning

confidence: 99%

“…Unlike EIV, leukocytoclasia is not observed in exercise-induced capillaritis. 7,8 Although some authors have suggested that EIV is a form of exercise-induced capillaritis exacerbated by underlying subclinical venous hypertension, 9 most authors classify it as a benign cutaneous variant of leukocytoclastic vasculitis. [2][3][4][5] In fact, leukocytoclastic vasculitis is the main histopathological finding and neutrophils, with associated karyorrhexis, predominate in the perivascular infiltrate.…”

Section: Discussionmentioning

confidence: 99%

Saturday night purpura: An uncommon presentation of exercise‐induced vasculitis

Ramírez‐Lluch

Álvarez‐Salafranca

García‐Gil

et al. 2020

Pediatric Dermatology

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“…Based on the cervico-thoracoabdominal CT, radiologists ruled out any compression of the venous outflow from the face and neck area, in particular by the described multinodular goiter. Furthermore, the patient confidently and repeatedly denied either Valsalva-like spikes (repetitive coughing, vomiting or obstipation) or regular exercise [8]. Periorbital purpura has been associated with AL type amyloidosis [9], although rather presenting as large purpuric macules (ecchymosis).…”

Section: Discussionmentioning

confidence: 99%

Purpura of the Face and Neck: An Atypical Clinical Presentation Revealing a Hepatosplenic T Cell Lymphoma

et al. 2014

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Background: Hepatosplenic T cell lymphoma (HSTL) is a rare but very aggressive peripheral T cell lymphoma whose initial silent clinical presentation unfortunately delays the diagnosis and worsens the prognosis of patient survival. Efforts should be aimed at early recognition and treatment. Methods: We describe a case of a 62-year-old woman who presented at our clinic with a non-palpable purpuric eruption of the face. Investigations revealed thrombocytopenia with hepatosplenomegaly, which showed rapid progression together with accentuation of the purpura. Two months later, a bone marrow biopsy revealed the diagnosis of a HSTL. Results: The patient received six cycles of CHOP chemotherapy (vincristine, cyclophosphamide, doxorubicin, methylprednisolone) followed by a well-tolerated autologous bone marrow graft. Normalization of the platelet count resulted in regression of the purpuric rash. Conclusion: To our knowledge, this is the first report of a facial thrombocytopenic purpura as the inaugural symptom of HSTL. It emphasizes the privileged position of the dermatologist for early recognition of potentially lethal HSTL.

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Exercise-induced progressive pigmentary purpura of the forehead

Cited by 4 publications

References 4 publications

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

Saturday night purpura: An uncommon presentation of exercise‐induced vasculitis

Purpura of the Face and Neck: An Atypical Clinical Presentation Revealing a Hepatosplenic T Cell Lymphoma

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