Pigmented Purpuric Eruptions

Cutaneous T-cell lymphoma in skin of color

“…This facilitates the differentiation of pigmented purpuric MF from the pigmented purpura syndromes of Schamberg, GougeroteBlum, Majocchi, Doucas and Kapetenakis, and lichen aureus. 26 In skin of color, many of the diagnostic hues (rust for Schamberg, purple for GougeroteBlum, and golden for lichen aureus) are subtle and often manifest as violaceous erythema (Fig 13). The lesions of the benign syndromes rarely assume the morphology and distribution found with MF.…”

Lichenoid eruptions in children

“…106 The lesions of both LA and PPLD of Gougerot and Blum are typically asymptomatic, but can be mildly pruritic. 113,114 …”

“…114 LA is often confused with bruising, however, unlike a bruise, LA lesions are nontender, the color remains stable, and onset is rarely preceded by trauma; however, there have been reports of LA associated with trauma. 109 In distinguishing LA from the other PPs, histology can often be helpful.…”

Pigmented purpuric dermatosis (capillaritis) induced by bezafibrate

“…PPD encompass the entities of Schamberg's disease, GougeroteBlum disease, Majocchi's disease (purpura annularis telangiectoides), ''itching purpura'' (eczematid-like purpura), lichen aureus, unilateral linear capillaritis, and granulomatous pigmented purpuric dermatosis. [1][2][3][4][5] The cause of PPD is unknown, but drugs are implicated in a minority of cases. We report a case of bezafibrate-induced PPD.…”

“…PPD all feature characteristic common clinical and histologic findings. [1][2][3][4][5][6] The individual lesions of PPD are characterized by solitary or multiple macules, papules, plaques, or, occasionally, annular purpuric lesions, initially red-brown and later golden yellow in color. Within these lesions there are characteristic punctate petechiae or ''cayenne pepper spots.''…”