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http://dx.doi.org/10.1097/00005792-196811000-00002DOI Listing

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Psychogenic Purpura.

Cutis

January 2024

Dr. Petruzzelli is from the Department of Medicine, Warren Alpert Medical School, Brown University, Providence, Rhode Island. Dr. Sarro and Douglas Leeman are from Premier Dermatology Partners, Delray Beach, Florida.

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Background: Psychogenic purpura is an idiopathic psychodermatologic condition of recurrent, painful purpura precipitated by psychological stress, predominantly affecting young females. Little consensus exists on the diagnostic guidelines for this rare condition, often resulting in costly, unnecessary, and stressful investigations as well as prolonged hospital admissions.

Objective: With this first up-to-date systematic review of 134 cases of psychogenic purpura in over a decade, we aim to thoroughly investigate the diagnostic strategy and treatment regimens used in the last decade.

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