Exercise-induced purpura – triggered by a lymphoedema

Summary

Exercised-induced purpura (EIP) is an frequently misdiagnosed condition that occurs most often on the lower extremities. An association with exercise is common. Most EIP have presented in healthy-appearing individuals with no sign of chronic venous insufficiency.

A 62 year-old woman with primary lymphoedema of the right lower extremity presented erythematous purpuric patch only on her right medial ankle. This purpura had appeared spontaneously after an unusually long march without compression stockings. Through the typical history and symptoms diagnosis of exercise-induced purpura could be provided. This common and harmless disease should be known as an important differential diagnosis for systemic vasculitis.

Keywords

Exercise-induced purpura - exercise-induced vasculitis - vasculitis - purpura

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