title: Chronic vulvar purpura.
abstract: We described a 56-year-old Japanese woman with a long-standing asymptomatic vulvar purpuric lesion. Histological studies revealed massive hemorrhage, deposition of hemosiderin and a moderate lymphohistiocytic infiltration. We speculate that chronic intrapelvic congestion with increased venous pressure possibly due to abdominal ptosis played an important role in the pathomechanism for this persistent purpuric lesion of the vulva.
authors.affiliation: Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kato
authors.forename: Y
authors.initials: Y
authors.lastname: Kuramoto
authors.forename: T
authors.initials: T
authors.lastname: Tadaki
authors.forename: K
authors.initials: K
authors.lastname: Hashimoto
authors.forename: H
authors.initials: H
authors.lastname: Tagami
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002908:Chronic Disease; D005260:Female; D006470:Hemorrhage / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D011693:Purpura / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013601:T-Lymphocytes / Q000032:analysis; D014845:Vulvar Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones