Telangiectatic Punctate Purpura (Majocchi)

Telangiectatic punctate purpura (Majocchi disease) is annular/arciform telangiectatic purpuric brown patches on lower limbs, benign, chronic, from venous stasis/capillary fragility. Treatment: reassurance; compression stockings; leg elevation; avoid prolonged standing; improve venous return; topical steroids for itching; follow-up dermatology; distinguish from Schamberg disease/vasculitis/hepatic purpura.

Common Symptoms

Annular telangiectatic purpuric patches; lower limbs; chronic; benign

Causes and Pathogenesis

Venous stasis/capillary fragility causes RBC extravasation and hemosiderin deposition.

Treatment

Reassurance; compression; leg elevation; topical steroids

Preventive Measures

Avoid prolonged standing; compression; treat venous insufficiency.

Department to Visit

It is recommended to visit the Dermatology/Vascular department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.