Pigmented purpuric dermatoses

From dermoscopedia

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Description This chapter describes dermoscopy of pigmented purpuric dermatoses
Author(s) Sabine Ludwig · Aimilios Lallas
Responsible author Aimilios Lallas→ send e-mail
Status unknown
Status update July 11, 2017
Status by Ralph P. Braun

Pigmented purpuric dermatoses

The term pigmented purpuric dermatoses comprehends the following entities: Schamberg’s disease, Majocchi purpura, eczematoid purpura of Doucas and Kapetanakis, lichen aureus and pigmented purpuric lichenoid dermatitis of Gougerot-Blum. Pigmented purpuric dermatoses are dermoscopically identified by the combination of purpuric dots or globules and orange-brown areas of pigmentation.[1][2] A similar dermoscopic pattern has been described in patients with mycosis fungoides, supporting previous evidence reporting clinical and histopathologic overlap between the two entities.[3] Since the pigmented purpuric dermatoses and mycosis fungoides notably differ in physical course and management, lesions showing a dermsocopic pattern of pigmented purpuric dermatoses should be evaluated carefully.


  1. Zaballos et al.: Dermoscopy of pigmented purpuric dermatoses (lichen aureus): a useful tool for clinical diagnosis. Arch Dermatol 2004;140:1290-1. PMID: 15492206. DOI.
  2. Zalaudek et al.: [Atypical clinical presentation of pigmented purpuric dermatosis]. J Dtsch Dermatol Ges 2006;4:138-40. PMID: 16503941. DOI.
  3. Lallas et al.: Dermoscopy of early stage mycosis fungoides. J Eur Acad Dermatol Venereol 2013;27:617-21. PMID: 22404051. DOI.