Purpura means large areas of bruising, which arises spontaneously and is not caused by injury. Purpura means massive leakage of blood out of the capillaries into the surrounding tissues of the skin (similar to the pinpoint bleeding of petechiae, but on a much greater scale).

Purpura can occur during overwhelming infection (sepsis), as a result of clotting abnormalities, or as a result of a vasculitis such as Hennoch-Schoenlein Purpura.

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