ICD-11 classes
14 Diseases of the skin
Skin disorders involving specific cutaneous structures
Disorders of cutaneous blood and lymphatic vessels
Purpura or bruising

ICD-11 Purpura or bruising

Purpura is a non-blanchable multifocal purple skin discolouration due to bleeding into the skin and manifested as petechiae (pinpoint foci of intradermal haemorrhage) and ecchymoses (larger areas of intradermal haemorrhage). It has many causes and may be the presenting sign of diseases as diverse as thrombocytopenia, primary amyloidosis, meningococcal septicaemia and scurvy. It will often be accompanied by haemorrhage into the subcutaneous tissues (spontaneous bruising or haematoma).

The diagnosis includes nothing.

The diagnosis excludes nothing.

Diagnosis contains 7 clarifying diagnoses:

  1. EF30 — Purpura or bruising due to disorders of coagulation
  2. EF31 — Traumatic purpura
  3. Purpura due to disorders of platelets
    It contains 2 clarifying diagnoses.
  4. EE40.32 — Purpura or bruising due to vascular fragility
  5. ED02 — Painful bruising syndrome
  6. EF3Y — Other specified purpura
  7. EF3Z — Purpura of unspecified aetiology

The diagnosis is included in 3 other classes.

  • Purpura due to disorders of platelets
  • Purpura or bruising due to vascular fragility (EE40.32)
  • Painful bruising syndrome (ED02)

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