Non-specific skin purpura

• Main Authors: Shalihin, Mohd Shaiful Ehsan, Harun, Zulkifli, Osman, Iskandar Firzada
• Format: Article
• Language: English; English
• Published: Academy of Family Physicians of Malaysia, 2018
• Subjects: R Medicine (General); RC Internal medicine; RL Dermatology
• Online Access: http://irep.iium.edu.my/66491/7/66491%20Non-specific%20skin%20purpur.pdf; http://irep.iium.edu.my/66491/8/66491%20Non-specific%20skin%20purpur%20SCOPUS.pdf; http://irep.iium.edu.my/66491/; http://e-mfp.org/wp-content/uploads/2018/09/v13n2.pdf
• Institution: Universiti Islam Antarabangsa Malaysia

Essential thrombocythemia is one of the myeloproliferative neoplasms. Palpable purpura is a rare manifestation that may delay diagnosis and treatment. We report a case of essential thrombocythemia in a 50-year-old man, who presented with recurrent thigh pain for the past one year with nonspecific localized purpura. His full blood count revealed isolated thrombocytosis of 880,000/µL with an impression of myeloproliferative disorder from peripheral blood film. He was referred urgently to the hematology team, which proceeded with a venesection. His condition improved with hydroxyurea. This was a rare case of chronic presentation of myeloproliferative neoplasm detected at a primary care clinic.