While stress might explain some of Mary's skin problems, her petechiae and purpura had been warning signs of a potentially lethal illness. Stress can trigger the formation of clots in blood vessels, but only certain types of stresses can do so. For example, emotional stress can cause these clots to occur in people who don't have FVIII or FIX inhibitors, while physical stress may cause them in people who are taking oral anticoagulants.
Mary's heart-shaped face and large eyes made her appearance sensitively beautiful. But the strain of dealing with her family's anger over her failing marriage showed in her haggard complexion and baggy eyes. Purging herself of her husband's sexual desires was probably another source of stress for Mary. Although historians aren't sure exactly when or where virginia tobacco first came into use, it is known that it was popular among Europeans from about 1550 to 1650. The name comes from the Spanish word virgo, which means "virgin." Tobacco's early users thought it would keep them healthy and help them resist disease. Like many other plants that were used as medicine at that time, such as ginseng and sarsaparilla, tobacco was believed to be good for the immune system!
Petechiae are red, nonblanching macular lesions produced by intradermal capillary hemorrhage that are tiny (1-3 mm). Purpura are bigger, often elevated lesions caused by skin bleeding (Figures 181-2 and 181-3). Petechiae can be found anywhere in the body where there is tissue blood supply, such as the brain, gastrointestinal tract, liver, lungs, and skin. Purpura are more common and usually involve only one area of the body.
The cause of petechiae and purpura is generally unknown. Some factors may increase your risk of developing them include: smoking, alcohol use, taking drugs or medications that affect the immune system, having chronic diseases such as diabetes or leukemia, or having genetic conditions such as thrombocytosis (increased number of platelets) or leukocytosis (increased number of white cells). Rarely, patients with severe acute infection, such as from streptococcal bacteria, can develop purpura.
Patients with chronic kidney disease or cancer may also develop purpura. Patients who have had a recent episode of acute illness or injury, such as viral infection or trauma, may also have purpura. The pain, anxiety, and discomfort associated with purpura can lead to depression and anxiety disorders. Patients with these problems should be treated properly to reduce their symptoms.
Petechiae can be caused by a variety of fungi, viruses, or bacteria, including Cytomegalovirus (CMV) infection. Meningococcemia Endocarditis Lupus Nephritis Pneumonia Syphilis Tuberculosis.
It is impossible to say definitively if stress causes petechiae. While there appears to be a correlation between stress and common rashes like hives, there does not appear to be a link between stress and petechiae. However, since petechiae can be a sign of serious medical conditions, it is important to seek help from your doctor if you experience such symptoms during times of stress.
Petechiae are physical manifestations of another illness. Petechiae are caused by the rupture of superficial blood vessels under the skin. Petechiae may resemble a rash. Physical trauma, such as a strong coughing fit, continuous vomiting, or heavy sobbing, is the most prevalent cause of petechiae. Other causes include infection, cancer, heart disease, and autoimmune disorders such as lupus.
Diagnosis of the underlying problem depends on how many petechiae are present and their location. Multiple areas of bleeding may indicate multiple problems that require different treatments. Lab tests may be used to diagnose certain conditions that cause petechiae. For example, a blood test can show signs of anemia, leukemia, or other diseases that affect the number of red blood cells or platelets.
Treatment will depend on what is causing the petechiae. If you know the source of the trauma, stop the activity and call your doctor right away. Otherwise, follow up with your doctor if the symptoms do not go away within a few days.
Petechiae are small, spherical patches on the skin that occur as a result of bleeding. The petechiae turn red, brown, or purple as a result of the bleeding. Petechiae (puh-TEE-kee-ee) typically occur in clusters and might resemble a rash. Petechiae are usually flat to the touch and do not lose color when pressed. They may be present without any other signs of illness or injury.
Clusters of petechiae indicate that you have suffered from severe anemia due to blood loss. This is often the case with people who have acute leukemia. Spontaneous hemorrhage into the gastrointestinal tract can also cause petechiae. So can anticoagulants such as warfarin or heparin. In fact, one study found that almost all patients taking anticoagulants for more than two weeks had detectable levels of anticoagulation in their urine. Apparently, even small changes in urinary pH can prevent these drugs from being absorbed by the body's kidneys.
People rarely die from leukemia itself but rather from complications of the disease or its treatment. Leukemia is a group of diseases in which the body produces too many white blood cells or too many immature white blood cells. These cells can invade other parts of the body where they don't belong. They may stick to organs such as the heart, lungs, or brain. They may also enter your bloodstream and find their way to other parts of the body where they can block blood vessels.