Most common type of first episode of bleeding observed was bruises and ecchymotic
Physical examination revealed multiple abrasions and bruises on the patient's face, chest, abdomen, and limbs, accompanied with a deformed and ecchymotic
The severity and extension of the ecchymotic
lesions of purpura fulminans can increase, caused by peripheral vasoconstriction secondary to any vasopressor drugs that may be used during shock, which was the case with this patient.
On skin examination, there are serpiginous and annular confluent erythematous urticarial plaques with a central ecchymotic
discoloration over the eyes, peripheral malar distribution, neck, chest, abdomen, back, buttock, extremities, hands, and feet.
patch was present on the left second toe, and a similar small lesion was present on the left big toe.
Petechial to ecchymotic
hemorrhages on the heart (A) and lung (B) (Gross)
Various histologic subtypes have described, including anaplastic, hyperkeratotic, lymphangioma-like, bullous, telangiectatic, ecchymotic
, keloidal, pyogenic granuloma-like, micronodular, intravascular, glomeruloid, and pigmented KS, as well as KS with sarcoidlike granulomas and, importantly, KS with myoid nodules.
Physical exam revealed marked bilateral lower extremity edema and an ecchymotic
rash below the knee.
Petechial and ecchymotic
hemorrhages are reported in 90% birds (Prantner et al.
The lungs were diffusedly hyperemic with some localized foci of ecchymotic
heamorrhages on the ventral surfaces of the left caudal and right middle lobes.
The liver is friable, mottled, swollen and discolored had multiple regions of focal necrosis, pin point or ecchymotic
The pulses were not palpable and there were ecchymotic
regions in the lower extremities.